HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: Permit Number: Z • osl S
5 :STFm" CEIVE®
Building Permit Application SEP 3 '0-,2015
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982 _
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter
PROPOSED (i1lIPR0\/EMENT�LC►CATIQIV a,
Address: 10121 Wild Quail Dr
Legal Description: POD 6 PUD 1 AT THE RESERVE WILLOW PINES WEST AT PGA VILLAGE Lot 11
Property Tax ID#: 3322-621-0020-000-1 Lot No.11
Site Plan Name: Paul A Fritz Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION:OF 1NORK
s y.
Install 12 Accordion shutters
@ONSTRUCTIQN INFORMATION s, Y
Additional work toe e orme under this permit—check a appy:
❑HVAC E]Gas Tank Gas Piping Shutters Windows Doors
❑Electric 0 Plumbing 11 Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 5,356.00 �' .jO� Utilities: _Sewer O Septic Building Height:
GINNER/LESSEE CONTRACTOR to
�,
Name Paul A Fritz Name: Michael Heissenberg
Address:30 Enchanted Forest Rd Company: Expert Shutter Services
City: Kings Park State:NY Address: 1626 SW Biltmore St
Zip Code: 11752 Fax: City: Port St Lucie State:FL
Phone No.631-484-3508 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.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
.-Address: Address:
City: State: City: State:
Zip: zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: xNot 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 Countymakes 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.
–4n-c4Dnsider-at-ion-of-the-gratiting-ofthis.�r-eouested-pe' iti-id"erebyegfee-that-l-wilIF4n-all-respe5tsi-perform-the-work--
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:.in accordance with the-approved plans,-the Florida Building Codes and St.Lucie County Amendments.
pproved
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 anothet-non-residential use
WARNING TO OWNIEW-Your-failureto Record a Notice of Commencemdnt 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 you inspect- intend to ghtain finanding,"consult with lender.or-ah attorney before
-If
regor(An"ur Nati of Commencement.
Owner/Lq*e nt-
_.�:Jgri rtwp.p�f Signature of CDntractoftcefte Hq1dq._
STATE OF-.'FLORIDA- STATE OF FLORIDA
COUNTY OF,st Lucii COUNTY OF slLud-
Th
The f—going instruDent was acknowledged before me The forgoing instrument was acknowledged.before me
thisq,_S46dayof 20 !Xby this Z111111day of 20 Wby
Michael Heisse.]JAM Michael Helssenimm
(Na of pe n acknowledging (Name of person acknowledging)
(Signature of Notary Public-State of Flo (Signature of Notary Public-State of Floq!W)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
..Type of Identification Produced. Type of Identification ProducedL_,
HEATHERNIZZO THEIR Vizzo
,Commission NO.- ' ijMsjRARy pUBUc commission No. PU
STATE T BLIC
OF FLORIDA STATE OF FLOIRIDA
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Revised 07/15/2014 Expires 11/13/2DIS wExpires 11113120I8
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE .
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS