HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_014 �1,4�. Permit Number:
: . . RECEIV71 APR 182016
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 Residential x
PERMIT APPLICATION FOR: Shutter
PROPOSED IIVIP,f"QVEIVIENT LOCATICIN , .; n, N..
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Address: LOQ (1 �v� e (4p1
Legal Description: L*
Property Tax ID#: V3 G6" 1 " ,/'3 a GO '"d Lot No. s4
Site Plan Name: Rploe�'- 0' 4A - Block No. ?3
Project Name:
Setbacks Front Back: Right Side: Left Side:
G( NSTRUCTIQN INFORMATION £?
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Additional work to be neffOrMed under this permit-check a app y:
HVAC Gas Tank []Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers L�J Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
CosL of Construction:$ �� Utilities: 0 Sewer 0 Septic Building Height:
t ,WNER/LESSEE;°'; CONTRACTORS
Name Eiji&+ 0,". a Name: Michael Heissenberg
Address: Company: Expert Shutters
City: rsa.�3 State:_A Address: 1626 SW Biltmore St
Zip Code: 18xpLtO Fax:. City: Port St Lucie State:FL
Phone No. %9q-642-- I.b2(G 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.
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SUPPLEMENTALCONSTIR.": ON LIEN LAW iNF(JRMATION
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: waiter �t Name:
Address: 5Nw3 st Address:
City: Vir ' is Gar s Stat L City: _ State:
Zip: 3 68 Phone: 305-8 -163 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 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 inten o obtain financing, consult with lender or an attorney before
commencing workjar__re�ording yourMtice of Commencement.
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_Signature of Owner/Lessee/Agent V Signature of Contractor/Lice6lie-1461cler
STATE OF FLORIDA �' Lim C ;R STATE OY OF FLORIDA n
COUNTY OF
i
'The fir oing instrument was acknowledged before me The f2rgoing instrument was acknowledged before me
thisl �%ay of �)"Q 20 �by this L Iday of !—t��I i 20 1 b by
I
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Publ' -State of ) (Signature of Notan,' ublic-State of FI ri a
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
�tRRYq HEATHER VIZZO � ���(_ A ER VIZZO
Commission o��@ ARY PUBLIC Commission o. W t�X4,s, RY PUBLIC I
STATE OF FLORIDA c� � �
o c x -+STATE OF FLORIDA
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X762643 —
�P'V E 19�; Expires 11/13/2018
Revised 07/15/2014 �s��dcE N" Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
I N ITIALS