HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/21/15 Permit Number:
7iii-
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A
R E.C E VIEFEED
,Building Permit Application
Planning and Development Services 205
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 PERMITFINt�
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resident jalL&ig � FL
PERMIT APPLICATION FOR: Shutter
Address: 759 Rio Vista Dr, Fort Pierce, FL 34982
Legal Description.. RIO VISTA S/D ELY 100 FT OF LOT 7(OR 193-1368:976-293: 1045-1317)
Property Tax ID#: 2426-501-0008-000-8 Lot No.7
Site Plan Name: Block No.
Project Name: Fredrick
Setbacks Front Back: Right Side: Left Side:
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onefii A,10m ft""t
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'all
Installation of nine (9) accordion shutters,
two (2) hurricane panels,
and one (1) rolling Shutter (manually operated).
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0
Additional work toDe nertormea under this permit a
check apply:
F]HVAC F�Gas Tank ❑Gas Piping Shutters F]Winclows/Doors
RElectric FlPlumbing OSprinklers 0_Generator Roof
Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction:$ 6,195.00 Utilitiescn Sewer F]Septic Building Height: 15'
7--7
or
31
Name Kathleen P Fredrick Name: Michael Heissenberg
Address:759 Rio Vista Dr Company: Expert Shutter Services, Inc.
City: Fort Pierce State:FL Address: 1626 SW Biltmore St.
Zip Code: 34982 Fax: City: Port St Lucie —State-FL
Phone No.772-971-0559 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.
SUPI?L,EMENT'AL�fl�IS1' `� �1"I"QN IN, U1i INFQR3IVI�y1�°IC�
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tiiteco,ino• 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 intend to obtain financing, consult with lender or an attornev before
commencing work-or recording4our Notice of Commencement.
Signature of Owner/Agent Le see Signature of Contractor License [der`
STATE OF FLORIDAI/ /' ' STATE OF FLORIDA
CL__ l COUNTY OF5�_ t COUNTY OF (J C
The orgoing instr ent was acknowledged before me Ttor�oLing inst ent was a knowledged before me
thi )55'—�day of Q ('��f 20 Lf by thi�t) _day of 20 A 5y
(Name of person acknowledging) (Name of person acknowledging) iR
(Signature of Notary Pu ic-State of Flo 'd ) (Signature of Nota7Pu
c-State of FPersonally Known OR Produced Identification Personall Known OR Produced oduced Identification
Type of Identification Produced Type of Identification Produced
�1 HEATHER VIZZO � �D
Commission No. )7 a�p� A I Commission No. 7 R
y PUBLIC
NOTARY PUBLIC
4 y OF FLORIDA
STATE OF FLORIDq Jrcamm#FF176266
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Revised 07/15/2014 % Expires ires 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