HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
9.Date: Permit Number: 690416&_
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
PRQPOSED CNIPROVEMENT'LOCATION
Address: 5860 Travelers Way
Legal Description: PALM GROVE S/D BLK D LOT 24
Property Tax ID#: 3410-503-0120-000-9 Lot No.24
Site Plan Name: Robin A Schwartz Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OgF WORKIN
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Install 9 Accordion shutters
COIVSTRUC"T I®N:INFORMATION
Additional or to e performedunder this permit—check a apply:
❑HVAC Gas Tank Ga Piping
Shutters ❑Windows/Doors
Electric 0 Plumbing 11 Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 7022.00 Utilities:0 Sewer Septic Building Height:
OWNER/LESSEE "PCONTRACTOR: .
,
Name Robin A Schwartz Name: Michael Heissenberg
Address:5860 Travelers Way Company: Expert Shutter Services
City: Fort Pierce State:FL Address: 1626 SW Biltmore St
Zip Code: 34982 Fax: City: Port St Lucie State:FL
Phone No.954-242-1114 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.
0
SUPPLEMENTALCONSTRUCTION LILAIN INFORMATION
n. .EN .�.<.
DESIGNER/ENGINEER: x 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 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 before
commencing work o;,r--_qprding your Noice of Commencement.
s
_Signature of Owner/ essee/Agent Signature of Contractor Li ense Holfler
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sc dude COUNTY OF Sc Lucie
The f r oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�day of +E p� 20 LVby this 4day of !f:5W 201 '6' by
Michael Heissenb&g Michael Heissenberg
(Name of per n acknowledging) (Nam of person acknowledging
C�)J )
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of F12!W)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
,SPAY HEATHERHEATHER VIZZO
Commission No. ,, WTARYPUBLIC Commission No. e26TARYPUBLIC
WQE11a1'b4
STATE OF FLORIDA •STATE OF FLORIDA
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Revised 07/15/2014
Expires 11/13/2018 �. �0. Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS