HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED fi�tt�►► L,
Date: Permit Number: -V J
E C-77 011
Building Permit Application APR ? 8 209
Planning and Development Services
Building and Code Regulation Division PEP"-AITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
RFtQPOS�Ditll'fROVEMENT°LOCATION y=.
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Address: 6837 BRONTE CIR
Legal Description: OLEANDER PINES BLK 2 LOT 14
Property Tax ID#: 3415-705-0145-000-5 Lot No.14
Site Plan Name: Elizabeth True Block No. 2
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Install 7 Accordion shutters
9 q,,.
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Additional wor toe performed under this permit—check a appy:
❑HVAC E]Gas Tank Gas Piping Shutters ❑Windows/Doors
Electric ❑Plumbing Sprinklers Generator F� Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2318.00 Utilities:n Sewer 0 Septic Building Height:
t
Name Elizabeth True Name: Michael Heissenberg
Address:6837 BRONTE CIR Company: Expert Shutters
City: Port St Lucie State:FL Address: 1626 SW Biltmore St
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No.315-532-2138 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.
SUPpLEMENTA CQNSTRUCTI�N �lEN LAW "n
(NFQRMATION.
DESIGNER/ENGI EER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: waiterriiit Name:
Address: 55 w36thst Address:
City: Vi inia ardens Stat FL City: State:
Zip: ..168 Phone' 05-8 -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 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 to obtain financing, consult with lender or an attorney efore
commencing work or cording yo)A Notice of Commencement.
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_Signature of Ow er/6e'ssee/Agenf U Signature of Contra or/License old r
STATE OF FLORIDA `� ! STATE OF FLORIDA :5l �
COUNTY OF c 4 LuC�i`4 COUNTY OF ) uC )
The forgoing instrument was acknowledged before me The forgoing instr t was acknowledged before me
thiaP�5day of A(1 t i ) 20 ��by tf1���day of t i ) 20 ( � by
(Name of person acknowledging) (Name of person acknowledgingev
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(Signature of Notary P lic-State of Flo i (Signature of Notary Pu ic-State of FI-ri
Personal) Known OR Produced Identification Personally Known OR Produced Identification
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Type of Identification Produced Type of Identification Produced
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Commission No tAR 4.(SeRRATHER VIZZO Commission No. a dd� NOTARY PUBLIC
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Revised 07/15/2014 WIVE Cxplres 11/13/2018 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS