HomeMy WebLinkAboutBuilding Permit Application 2015-09-15 11 :17 Expert Shutter 7728710990 >> P 5/8
ALL APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 )1 Permit Number: 'Q n
+ � RECEIVE
Building Permit Application SEP -15 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginio avenue,Fon Pierce FL 34982
Phone!(772)462-1558 Fax:(772)462-2578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
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Address: 4100 N AlAll 3
Legal Description: TREASURE COVE DUNES UNIT 113
Properly Tax ID M. 1423-502-0003-000-4 Lot No.
Site Plan Name: Robert E Lowe Block No.
Project Name:
Setbacks Front Back: Right Side; Left Side:
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Install 3 Accordion shutters
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i lona wor o e orme under thispermit—c ec B71 appy:
HVAC Gas Tank ❑Gas Piping 12shutters ❑Windows/Doors
11 Electric Q Plumbing Sprinklers 11 Generator Roof
Total Sq. Ft of Construction; S . Ft.of First Floor:
Cost of Construction:$ 1976.00 Utilities:Sewer Septic Building Height; 50,
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Name Robort E Lowe Name: Michael Helssenberg
Address:4100 N AIA 113 Company Expert Shuttor Services _
City Fort Pierce State:FL Address: 1626 SW Biltmore St
Zip Code: 34949 Fax: City: Port St Lucio State:FL
Phone No.772-538-5268 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 Llcense: 16572
If value of construction is$%Soo or more,a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL;CONSTRW71' Nk LIEN LAW INF"®RMATION
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DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: VjAk�w ���!`��� Name:
Address: --AOS Address:
City: State: f-L City: State:
Zip: 331to{o Phone: -A&S-S?1- 153 I 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 intendVo obtain financing, consult with lender or an attorney before
commencingwork or recor ' our Wtice of Commencement.
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_Signature of Owner/Less a/Agent Signature of Contra /L' nse Holde
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF stL.cte
The fgrgoing instrument was acknowledged ore me The forgoing instrument was acknowledged before me
this�A� day of c.��"P� 20 t by this <<lA day of c�p 4 20 16 .by
Michael Heissenb&g Michael Heissenberg
(Name of person acknowledging) (Name otQerson acknowledging)
tv6Z V ill Lj�_�
(Signature of Notary Public-State of FI r' ) (Signature of Notary Public-State of Floridav 1101,
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VIZZO
Commission No. JIMEN& N~PUBLIC Commission No. pSf�YA e� THER VIZZO
STATE OF FLORIDA c� NOTARY PUBLIC
-+STATE OF FLORIDA
Revised 07/15/2014
__We, Expires 11/13/2018 QUIP Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS