HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: �1 116 Permit Number:
RECEI4''D MAY 17 2616
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
?:RUPOSED11111PR V,EMNT LOCATI( N ' ,,j ` x `. V
Address: 156 PEPPER LN
Legal Description: THE BAY TREE LOT 28
Property Tax ID#: 4511-503-0034-000-2 Lot No.28
Site Plan Name: Gerald C Ludlow Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DL�TAILED�DESNCRI,PTION OFxV11�bRK ,u
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Install 20 Accordion shutter
Additiona wor to a ey orme under t is permit—c ec a appy: :...
HVAC E]Gas Tank Gas Piping 2 Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers MGenerator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 9764.00 Utilities:n Sewer Septic Building Height:
QIJNERILES � r �� �' CONTRACTOR
.ss, s, 2.;�s _ ... � °.
.�..
Name Gerald C Ludlow Name: Michael Heissenberg
Address: 156 PEPPER LN Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.512-659-3188 Zip Code: 34984 Fax:
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.
SllPP��`IVlENTAL�ON5TRUCTION�LlEN LAW lNFt}R(1/IATION ��
DESIGNER/ENGINEER: X_Not Applicable MORTGAGE COMPANY: _NotApplicable
Name: WalterTiiiit Name:
Add ress: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 a d posted on the jobsite
before the first inspecti If you intend obtain financing, consult with le r o attorney ore
commencing wor or co g your N ice of Commencemen
S
_Signature of Owne essee Agen Signature of Contractor/License How\(
STATE OF FLORIDA i d STATE OF FLORIDA
COUNTY OF J—f' LCA C P9, COUNTY OF LU C I
The forg ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisV) lay of d 1' a 20 by this��ay of Q l 20 by
(Name of person acknowledging) (Name of person acknowledgingC\�
)
V '
(Signature of Nota
ryYOR
lic-State of Flor`d (Signature of Notary Pub'c-State of Florid
Personally Known Produced Identification Personally Known OR Produced Identification
Type of Identificatio(n�Produced'- Type of Identification Produced
Commission No t" )tDq�1? Rv,1 .(Sea THER VIZZO Commission No � V a� ziwy,�Sea"EATHER VIZZO
o NO ARY PUBLIC
n NOTARY PUBLIC
r;!STATE OF FLORIDA
STATF OF FLORIDARevised 07/15/2014 w4VCE OW Expires 11/13/2018 ws/P� 1�i Comm#FF176266
CE ti9 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS