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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0� Date: 11/18/15 Permit Numf : . CEIVED NOV 2 0 2015 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 PROPOSER t11t3PROUMENT L©CATi()NV, _ s Address: 361 Melton DR Fort Pierce, FL 34982 Legal Description: RUHLMAN S/D BLK 6 LOT 4 AND W 1/2 OF LOT 5 (0.24 AC) (OR 3709-1149) Property Tax ID#: 3403-805-0099-000-7 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: YdETAFLE� DESCRIPI ION OF&WORK 1 � Installation of one (1) accordion shutter and three (3) hurricane panels. coNSTRUCTf6N INFOR1lATION Additional work to be pertormecl under this permit—check k aMy/ apply: HVAC Gas Tank EGas Piping Shutters Windows/Doors Electric ❑ Plumbing Sprinklers OGenerator Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 631.00 Utilities: Sewer Septic Building Height: OIfUNCR/LtSSE NTRACTOR , �� Name Flora M Wilkerson Name: Michael Heissenberg Address:361 Melton DR Company: Expert Shutter Services, Inc. City: Fort Pierce State:FL Address: 1626 S.W. Biltmore St. Zip Code: 34982 Fax: City: Port St. Lucie State:FL Phone No.772-349-7246 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. �5UPPLEMENTAL ON CONSTRUCTION LIEN LAIN INFORMATI ~ ,� y � � . �T DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Tiiteco,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 wor r rec our N ce of Commencement. S _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDAN, m / j� STATE OF FLORIDA 1 LI U n / l� COUNTY OF Vl l COUNTY OF 7� ( The for ing inst,��(men was acknowledged before me The for oing instrument was cknowledged before me this�dayofI'Wyi00�� 20�by this�hdayof ,20 f by C � �sSQ� � ;M� clna� (Name of person acknowledging) (Name of person acknowledging) ��)k 1'� -. _a4keLp'2= 4kabA n�� (Signature of Notary Publ' -State of Flo a (Signature of Notary Publ' -State f I a PersonallyKnown 7OR Produced Identification Personally Known V OR Produced Identification Y @ Type of Identification Produced Type of Identification Produced ; d` HER VI7ZC ,%my HEATHER V IZZO Commission lL� o—u—b Commission Nr76h � TARY PU13LIC� RYPUBIIC o =STATE OF FLORIDA A —STATE OFFLORIDA Comm#FF176M Comm#FF176266 Revised 07/15/2014 �tnlVe Expires 11/13/2018 Expires 11/13/2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS