HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dates 31�,��o Permit Number: ��cQ3—aC5$5
RECEIVED MAR 04.2016
a
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
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Address: 4100 N Al Apt 412 Fort Pierce, FL 34949
Legal Description: TREASURE COVE DUNES UNIT 412
Property Tax ID#: 1423-502-0031-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Installation of two (2) accordion shutters.
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Additional wor toe nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 1,646.00 Utilities:]Sewer Septic Building Height: 170'
0111//N,ERjLE5SEEE`„ � r ` , CONTtACTC?R
Name Marcia Ned Mario Ned Name: Michael Heissenberg
Address:4100 N Al Apt 412 Company: Expert Shutter Services, Inc.
City: Fort Pierce State:FL Address: 1626 S.W. Biltmore St.
Zip Code: 34949 Fax: City: Port St. Lucie State:FL
Phone No.860-604-8377 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.
SUPEMI*NAL.CaN�ST'RUC�'lON LEEN I.�UV IN�I�aRM:A�T10�N�•�` ° _
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Tiiteoo,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 thepermit 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 tQ obtain financing, consult with lender or an attorney before
commencing work or recording our NQ ce of Commencement.
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_Signature of Owner essee/Agan Signature of Contractor/License Holder,..
STATE OF FLORIDA �v j l ' C i C STATE OF FLORIDA 1
COUNTY OF L.�\h COUNTY OF !�
The forgoing instrument was acknowledge pefore me The forgoing instruigt was acknowledged before me
this day of (Jn . 20 _U,y this day of 20 to by
C,l i i e.-) rniawl lk)S Un bei
(Name of person acknowledging) J (Name of person acknowledging)
�)ka�� WA�) Clka4w' C1\//VZ_q"/_(b
(Signature of Notary Pu c-State of Flori (Signature of Notary Pu,lic-State o o )
PersonallyKnown 7 OR Produced Identification Personally Known 7 OR
y Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No:i-'T�� �� (Seal) Commission No.� 11 d OSpRY, SealfgEATHER VIZZO
�QtpRp�SsQ HEATHER VIZZO NOTARY
NOTARY 21 IRI ir y
STATE OF FLORIDA Comm#F171 76266
Revised 07/15/2014 ` ¢Comm#FF176266 srf` 19�0 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS