HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
4-4-16
Date: 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
PROPOSED,tMPR�1/EMENfi L(�CA� � VRVI"I'll" r
Address: 4160 N Highway Ala Apt 1102 A
Legal Description: OCEANIQUE OCEANFRONT(OR 2752-1842)BLDG A UNIT 1102
Property Tax ID#: 1423-506-0065-000-8 Lot No.__A�_
Site Plan Name: William F Watt Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Install 1 Roll Up Shutters — No++ wwA -i'LAo
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itiona worto a er orme un er t is permit—c ec a pp y:
❑HVAC E]Gas Tank _ ❑
Windows/Doors
Pi ing Shutters
Electric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1788.00 Utilities:11 Sewer 0 Septic Building Height: 140
1` ISR/LES � a CON RAC CSR s r36
Name William F Watt Name: Michael Heissenberg
Address:4160 N Highway Ala Apt 1102A Company: Expert Shutters
City: Fort Pierce State:FL Address: 1626 SW Biltmore St
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.805-908-1778 Zip Code: 34984 Fax: _
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail:
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.
�SUPPLEMENT4L�C��NSTRUCTIQIV`LIE �LAW'�NF��RMgTiQNY �� ' � ' �� ,T� �.� s� ���:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: WalterTiilit Name:
Address:6355 NW 36th St Address:
City: Virginia Gardens State: FL City: State:
Zip: 33168 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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-=ording your N tice of Commencement.
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_Signature of Owner/Lessee/Agent el, Signature of Contractor/License Holder
STATE OF FLORIDA J � ��J STATE OF FLORIDA C )_ ���CI1
COUNTY OF !� C IC- COUNTY OF .J�"
The or oing instr e t wqs acknowledgjd before me The for �ing instru nt was acknowledgefl before me
thisay of 20 l by this _day ofr t 20( (_by
�1n1.coa I J s � h a� ► we I's S end
(Name of person acknowledging) J (Name of person acknowledging)
V
(Signature of Notary Pub c-State of Florida (Signature of Notary Publ' -State f F r'
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced /
1� so NOTARY PUBLIC` l�od(a4ay4s HEATHER VIZZO
Commission 1 `FATE OF FLORIDA Commission No� o (�j��,RY PUBLIC
NRUExpires
Comm#FF176266 a STATE OF FLORIDA
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Revised 07/15/2014 s�Hee 10�� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS