HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/8/15 Permit Number:
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
Address: 3120 N AlA 1201, FORT PIERCE, FL 34949
Legal Description: TIARA TOWERS UNIT 1201-S (OR 691-884: 1130-1853: 1140-1088; 3615-426: 3814-978)
Property Tax ID#: 1425-610-0127-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Installation of three (3) accordions.
Additional work tobe Derformed under–Tis F—permit–check all tha apply:
0HVAC F]
Gas Tank F]Gas PipingShutters F]Windows/Doors
nElectric F1 Plumbing F]Sprinklers E]GeneratorRoof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2,980.00 UtilitiesTlewerFISeptic Building Height: 70'
Name Edward H Webster 11 Name: Michael Heissenberg
Address:9705 NE 84th WAY Company: Expert Shutter Services, Inc.
City: Vancouver State:WA Address: 1626 SW Biltmore St.
Zip Code: 98662 Fax: City: Port St Lucie State:WA
Phone No.207-725-4945 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.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Tilteco,Inc. Name:
Address: Address:
City: Miami State: FL City: State:
Zip: 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 in end to obtain financing,consult with lender or an attorney before
commencing work or recoLding VQ4r Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Con tYact&/Licen_se H
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Personally Known 7 OR Produced Identification Personally Known 7OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.ef (rju {Se HEATHER VIZZO Commission No. 17 (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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