HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ''^^9 �,/nJP�''��'w
Date: Permit Number: Sb - IW)
MOMAM
rw m1
•
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 x Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IiUIPRO /EM,E'_,11'OCATIO
N
, ..
Address: 3120 N Al 901
Legal Description: TIARA TOWERS UNIT 901-S
Property Tax ID#: 1425-610-0112-000-9 Lot No.
Site Plan Name: Robert Miesner Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
D"ETAILED D°ESCRIPTIOff;OF UIIORK 4 x`
�
w a
0
=ra
Install 5 Accordion shutters
CONSTRUCTION INFORMATION f
a�c
Additional workto be nertormeci uncler this permit—check ec a appy:
HVAC Gas Tank Gas Piping V/ Shutters Windows Doors
❑ ❑
Electric ❑Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 9417.00 Utilities: Sewer Septic Building Height: 150'
OWNEfi/LESSEECONTRACTOR
Name Robert Miesner Name: Michael Heissenberg
Address:894 Huron Rd Company: Expert Shutter Services
City: Franklin Lakes State:NJ Address: 1626 SW Biltmore St
Zip Code: 07419 Fax: City: Port St Lucie State:FL
Phone No.201-891-7850 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW 1N�ORNIATlON ' ' " �' `
tlx§
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X_Not Applicable.
Name: W —1-1 A- Name:
Address: 1163S5 Nw 3bb. 5+ '6Zkt. 306' Address:
City: bra-,% State: City: State:
Zip: 1,61(010 Phone: U-6- 911- 1-530 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 the permit 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 b fore
commencing work or[9cordJFM your[cord' Notice of Commencement.
ol
1115, s
_Signature of Owner/Lessee/Agent Signature of Contract /Lic nse Holder
STATE OF FLORIDA STATE OF FLORIDA
CO U NTY OF St Lucie CO U NTY OF St Lucie
The,fo,`r�oing instrument was acknowledged-Wore me The forgoing instrument was acknowledged�l efore me
this I t day of �p� 20 Ljby this Zing
of 201 by
Michael Heissenb&g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Flom (Signature of Notary Public-State of Flo&
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
t�RYA �IEI�THER VIZZO WY HEATHER VIZZO
Commission No. � r ( ARY PUBLIC
Commission No. c NDTARYPUBLIC
STATE OF FLORIDA ez —STATE OF FLORIDA
J
SCE Gxm s�NCE 190 Expires 11/13/2018
Revised 07/15/2014 pins 11/13/9018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
4b6D YWe�*mow