HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ((�� �ff_
Date: Permit Number: /sog. 0,?o
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Building Permit Application
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
;PROP'OSED IMPROVEMENTLOCATION
Address: 12274 Cessna Terr
Legal Description. TREASURE COAST AIRPARK LOT 1
Property Tax ID#: 4224-501-0001-000-5 Lot No.1
Site Plan Name: Paul Ames Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Q,TAILED DEtSCRIPI'ION OF WORK ' 110,
Install 13 Bahama Shutters
CC)NSTRUCTI;ON INFORMATIONp
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Additionalwork toe e orme under this permit—check all[ appy:
❑HVAC Ei Gas Tank Gas Piping Shutters Windows Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 9697.00 Utilities:cnSewer[]Septic Building Height:
�WNER/LESSEE WCONTRACTOR
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Name Paul Ames Name: Michael Heissenberg
Address:12274 Cessna Terr Company: Expert Shutter Services
City: Port St Lucie State:FL Address: 1626 SW Biltmore St
Zip Code: 34987 Fax: City: Port St Lucie State:FL
Phone No.772-467-9051 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.
LSlgPPLENIENT� ®NST" U,CTfflNL LA�1NtNRd"A► �1 _ ��
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: 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 permit,I do hereby agree that I will,in all respects,perform the work
in accordance 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work oT,-Wording your bWice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor Li ense Holfler
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF stLucie COUNTY OF St Lucie
The f r oing instrument was acknowledged before me The for oing instrument was acknowledged before me
this day of �+ET= 20 Lby this I day of "15W 201 by
Michael Heissenberg Michael Heissenberg
(Name of per on acknowledging) (Nam of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Flpfd6) /
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
WY HEATHERHEATHER VIZZO
Commission No. ' wTARYPUBLIC Commission No. �6TARYPUBLIC
5 -+STATE OF FLORIDA STATE OF FLORIDA
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Rti Isl Expires 11/13/2018
Revised 07/15/2014 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4111508 OR BOOK 3788 PAGE 388, Recorded 09/16/2015 at 12:43 PM
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NOTICE OF COMMENCEMENT I
To be completed when reentruttloaf value eexxxcreed1s$2,500.00
PERMIT a: TAX FOLIOfy �
STATE OF FLORIDA COUNWOFSTLUOE
The undersi nadhero gives that improvement wlllbemade to certain real property bl atcofdalKC with Chapter 713,FIraWa 1
Statutes,the followingInformation Is provided In this Notice Commencement. Ir
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L LDESQIPTION OF OPER DS�ETADORESS,IFAVAI�): /� / �1 ',,I �1 '
GENERAL DESCRIPTION OF IMPROVEMENT:InsleRaUaR of Hurricane shutters
OWNER INF TION F:EI W ,IF E E NTRACT OFOR THE IMPROVEMENT: t
Name: _
Address: f
Interest In property; � ^__ T
Name and address of fee simple title holder 111 different from Owner listed above):
i
CONTRACTOR'S NAMEat SO/V{ade,Inc. Phone No.:Cn2)1171-1015
Address.1626 SW 811trnore S.,Port St Lude FL 34948
SURETY COMPANY(If applicable,a copy of the payment bond Is attached):
Name and oddmss: _
Phone No.: 0ond amount:
LENDER'S NAME: Phone No.:
Address:
Per30ta within the Sb1D of Merida ch siputtd by tamer uponwhom notices or other dxKmnenh may be served h luovlded bySectlon 713.13
(1)(y Y.Florida statutes:
Nerve: Phone Na.' t
Address:
in addition to himself or huse0,owner deslSnem of to t
receive a copyof the Liatmes Notice as Provided In Section 713.13(1)(b),Florida Statues.
Phone number of person or entity designated by Owner:
Exptrotlon date of Nolks of Commonrenenat
(the expiration data may net be bafom the mmplation of construction and final Payment to the contractor,but will be 1 Year from the date of
�- rexxrdlxrg unless a different data tr spectlied):
WARNING TO OWNER'ANY PAYMENTS MADE OV THE OWNER AFTER THE LXPIRAiION OF THE NOTICE OF COMMENCEMENT ARE CONSIDEREn
IMPROPER PAYMENTS UNDER CH.APTao'rta_outrl cernnu 7ta )A STATIM AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPRCARiMEMS TO YOUR PROPERTY.A NOTICE OF WMMENMENTMUST BE RECORDED AND POSTED ON 711E M SM BEFORE THE FIRST
LNSPEITINI IF YOU INTENDTO OBTAIN FINANCING C011111'WRH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECOPaM,VOUR
UndIcy of penury, that l fuse mad the foregoing and that the facto In R am true to the best of my enoadadge and ballet.
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signat�ureol Ov r or OvmcesmimeesAuthodted ORlm,/Dlrecfor/Paroar/Manager/Attdmey-lndact
Slgnat-y'.Title/eau O IL
The io gaing InOruman was acknowledged before me this IJ day of
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ante (person Type Plavthe.lry le•e.alRceq lrud4el Parry on behalf of whom Instrument Was executed
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Personally known_a or produced fflrallan a=
Notorys Slaneure Type of ldenldluti nprodutM I� .
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