HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/18/15 PermitNumber:
RECEIVED
Building Permit Application NOY 2 0 2015
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
P "'OPOSED INo`PROVEMENT LOCATIt
Address: 3120 N A1A 1404, Fort Pierce, FL 34950
Legal Description: TIARA TOWERS UNIT 1404-S (OR 3753-1642)
Property Tax ID#: 1425-610-0140-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
�? TAILEp
Owl
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Installation of four (4) accordion shutter.
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Ca�:STR'UCTIC}N IN'FORM A 'ON
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"ANitional work to e e Orme under tis —checkpermit a ssappy:FIVAC E] Gas Tank Gas Pi W Windows
/Doors
V Piping Shutters Doors❑ /
Electric ❑ Plumbing Sprinklers MGenerator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 2,185.00 Utilities:CnSewer Septic Building Height:
g011SINER%LESSI E l° w, CON;TRACTC}R
Name Jeanette P Gruenke Name: Michael Heissenberg
Address:3120 N A1A 1404 Company: Expert Shutter Services, Inc.
City: Fort Pierce State:FL Address: 1626 S.W. Biltmore St.
Zip Code: 34950 Fax: City: Port St. Lucie State.FL
Phone No.772-828-3117 Zip Code: 34984 Fax: 772-871-0990
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page (if different E-Mail: callexpert@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.
$ I'PLEMENY CQNSTRI)QN lI N �A1N INFQ'12M,4TION g � �
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: riiteco.inc. Name:
Address:6355 N.W.36th St.Suite 305 Address:
City: Miami State: FL City: State:
Zip: 33166 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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 or recordin ur NotiW of Commencement.
-�. s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF L Vt �I-� COUNTY OF W
The fr oing inst rent was acknowledged before me The Viday
ing instrument was acknowledged before me
this 1 day of U - 20 L'S-by this of P\W r')J%l .20 L5_ by
K"G�n�e,( '►��1 '� !C(/-o + 33e/) b✓
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(Name of person acknowledging) (Name of person acknowledging)
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(Signature of NotaryPu lic-State of Flori ) I(Signature of Notary P lic-State of r' )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced j Type of Identification Produced
Commission N . -i" i 7(Od6 (Sg4bATHER MZZO Commission No.-F-t(' I -)OQ'00
y'�r �ptAR eaI)HEATHER VIZZO
NOTARY PUBLIC o� ��NOTARY PUBLIC
STATE-p Ft
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Revised 07/15/2014 s/NCE 19�� Expires 11/1312018 s/CE ISI-b Expires 11/13/2018°
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
COMPLETE
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