HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: asa Permit Number: � o �, 3
-�J �
a RECEIVED MAY 2 0 ?DSS
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
u""RRUPC►S�D 0,,- ENT LOCATI(JN h ex
Address: 3207 S LAKEVIEW CIR 6206
Legal Description: THE SANDS-SECTION I-PHASE IV BLDG 6 APT 6206 AND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID#: 1425-605-0048-000-3 Lot No.
Site Plan Name: Leslie Savino Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
D�`fALED DESCRIPTION OF WORKRk
yy
Install 1 Accordion shutter
AdClitional worktoen er ormeun ertis permit—checkaMY/
appy:
HVAC El Gas Tank Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers I Generator 0 Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 348.00 Utilities: _Sewer F]Septic Building Height:
INNER/LESSI=E
;> 3 N ,: 'CONTRACTCIR r s ff
Name Leslie Savino / '�O b'zy-I 5c�y h d Name: Michael Heissenberg
Address:722 Pulm Tree Lane Company: Expert Shutters
City: Hanover State:PA Address: 668 SW Whitmore
Zip Code: 17331 Fax: City: Port St Lucie State:FL
Phone No.772-465-1140 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.
S,l1P .LEMENTAL CONSTRUCTION LIENx`LAW INFORMATION w
.. ��
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: Not Applicable
Name: walterTillit Name:
Add ress:6355 NW 36th sc 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 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 btain financing, consult with lende an attorney before
commencing work orreco—Mng your No ' e of Commenceme
Q
S
_Signature of Owner/Lessee/Agent VSignature of Contractor/License H der
STATE OF FLORIDA //�� �A STATE OF FLORIDA
COUNTY OF / V (),CA V` COUNTY OF Q6 (
J ��
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this l_--day of 01- 20 1 6 by this)V�day of (�q aU 20 1 (D by
(Name of person acknowledging) (Name of person acknowledging)
qL U
(Signature of NotaryPu wn ic-State of Florida) (Signature of Notary 70R
-State of FI ri
Personally Known OR Produced Identification Personally KnoProduced Identification
Type of Identification Produced Type of Identification Produced
Commission N Y 1 t�YA °°� I��Y PUBLIC Commission N ��7�0���`��'YA °� s�d�l Y PUBLIC
w -+STATE OF FLORIDA S TAT OF FLORIDA
s Comm#FF176266 y Comm#FF176266
s§CE 19� Expires 11/13/2018 Expires 1
Revised 07/15/20141/13/2U18
7/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW s
DATE
COMPLETE
INITIALS