HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
10 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
wPROFOSED"IItir9PRO.,VEMENT LOCATION
Address: 3120 N A1A 601S
Legal Description: TIARA TOWERS UNIT 601-S
Property Tax ID#: 1425-610-0097-000-7 Lot No.
Site Plan Name: Vincent J Kirk Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION (JF WORK ` A
Install `( accordion shutters + (4-0- "P -5h-4{�r
CONSTRUCTIONa°INFORNiATION:
_
Additional work toe e orme un er t is permit—check a appy:
HVAC Gas Tank Gas Piping �_Shutters 11Windows/Doors
Electric ❑Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 10,986.00 Utilities:CnSewer OSeptic Building Height: 150'
OWNER/LESSryEE ' ' f ' ' 'CONTRACTOR
w
we:
Name Vincent J Kirk Name: Michael Heissenberg
Address:3120 N A1A 601S Company: Expert Shutter Services
City: Ft Pierce State:FL Address: 1626 SW Biltmore St
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.919-438-8929 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.
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DESIGNER/ENGINEER: a _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: L-,^ikA.Z 1 ;k Name:
Address: 5 I-Z, Jwi '�f ��,� .1ko � Address:
._ ....City:..._.. State:_� t y; Sae:
Zip: 43,btyy Phone: -5o5 - u?t -L,931 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 Countyy 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 Hame Owners Assouatian 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.
to consider-at-ion-of-the rantin -of this-re nest-ed- ermit--i-da-hereb ree-that-t-will;•in-all-res ects- erform-the-wor --
_...-- g g q P _ - y� P r P.
— :in accordance with-the;approved.pians,ttie 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 mustbe,recorded'.and.posted on'the jobsite
'`before:the.first inspecti you-intend to tain financing;consUlt with lender or an attorney before
commencin vuork-or re r in ur Noti of Commencement: -
y 5 ..
Si nature of Si nature of contracto Lic e H .der._
_.-B ,.. __.._.... � _... ....
STATE OF-FLORIDA"-. STATE OF FLORIDA
COUNTY OfIt : ,..: .. COUNTY OF s,Lucie,
The fnraoing instrument was acknowledged before me The forgoing:instrument was acknowledged.before me
this%Sllckday of t Ci?+- 20 Sby thisZ'sl1ilday of 5'�P4- 20 (d'by::
Michael Heissenbky Michael Helssenberg _
(Na of per n acknowledging j (Name-of person.acknowledging)
(Signature of Notary Public-State of Flori {Signature of Notary Public-State of Flar" ) 17
Personally Known x ' OR'Produced Identification Personally Known x OR Produced identification
Type of,Identification Produced Type of Identification Produced
HEATHER,,VIZZO r ER VIZZO
Commission No. `;A&ARYPUBLIC Commission No.
IDA oNOTARY PUBLIC. .
STATE OF'FLORIDA STATE OF FLORIDA
Comm#FF176266
Revised 07/15/2014 e� � Expires 41!1312018 is tia'+� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE -
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DATE
-COMPLETE
INITIALS