HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - Permit Number:
ay RECEIVE®
- Building Permit Application SEP 14 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT.LOCATI`QN
Address: 2029 Lynx Dr
Legal Description: RIVERPOINTE AT THE SANDS PHASE II (PB 43-16)LOT 24
Property Tax ID#: 1425-620-0017-000-4 Lot No.24
Site Plan Name: Jeannie L Malato Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCR'IPTIONf�OF WORK c`;,
Install 17 Accordion Shutters
" e ,
CO,NSTRUCTIQN INFORMATION
Additionalworkto e e orme under. this permit—c ec a appy:
HVAC Ei Gas Tank DGas Piping Shutters Q Windows/Doors
0 Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 11,351.00 Utilities:Sewer OSeptic Building Height:
0.1NNER/LESSEE CONTRACTOR .,4
1'.
Name Jeannie L Malato Name: Michael Heissenberg
Address:100 Arlington PI#117 Company: Expert Shutter Services
City: Edwards State:CO Address: 1626 SW Biltmore St
Zip Code: 81632 Fax: City: Port St Lucie State:FL
Phone No.970-376-6280 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: expertpermits@aol.com
from the Owner listed above) State or County License: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
g
SUPPLEMENTALTONSTR'llCTION LIENRLi4W INFORMATION` � z ` " }
?ad< b .:.i �-tik..,a..+�v ..Yes xr t3 <.#z- +Y '-''- �' ..i v-.i ?.'. ..>:,^ =a .__ ,.",..-4:-�_�' � a.,.-e,...�i• � �
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: ' Name:
.--Address- _ -- - . - Address: - -
_ City:_ __- Stare. _ City: State:
zip:_ Phone:_ _ __ Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
-- --In-consideration-of-the-granting-of-this-requested perm it--I-do-here by-agree-that-l-will,-in-all-respects,-perform the-work--
inaccordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,-signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspectipFrff you intend to qbtain financing, consult with lender or an attorney before
commencing work or re r in ur Noti96 of Commencement.
v s
Signature of Owner/Lessee/Agent Signature of Contracto /Lic e H der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF StLu ie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiRl<day of 2SILe+ 20 ! ►by thisg4hdayof 20 baby-.
Michael Heissenb&rg Michael Heissenberg
(Na of per n acknowledging) (Name of person acknowledging)
—W
(Signature of Notary Public-State of Flori (Signature of Notary Public-State of Flor' )
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
_Type of Identification Produced Type of Identification Produced
HEATHER VIZZO
Commission No. �� �' Sfl&ARYPUBLIC Commission No. �IJt1 CT, VIZZO
a =STATE OF FLORIDA oraiN�jT, PUBLIC
STATE OF FLORIDA
Comm#FF176266
Revised 07/15/2014 201 Expires 11/13/2018 sNI0
Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS