HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rr w_n 1
Date: -r- r" 15 Permit Number:
RENO! -
Building
EN -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 4MPROVEMENT LbCATIt N
Address: 3207 S LAKEVIEW CIR 6103
Legal Description: THE SANDS-SECTION I-PHASE IV BLDG 6 APT 6103 AND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID#: 1425-605-0039-000-7 Lot No.
Site Plan Name: Edward G Duffy Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION-,OF WORK
Install 2 Accordion shutters
-
CONSTRUCTfON INFORIUTATIUN
Additional work to be nerfo—rmed under this permit–c ec k a app y:
❑HVAC Gas Tank Gas Piping ( Shutters ❑Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2032.00 Utilities: Sewer❑Septic Building Height: 30'
`OWNE'R/LESSEE CONTRACTOR `
Name Edward G Duffy Name: Michael Heissenberg
Address:3207 S LAKEVIEW CIR 6103 Company: Expert Shutters
City: Fort Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.814-229-2580 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFQRMATION
4,
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: WalterTillit 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: _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 tp obtain financing, consult with lender or an attorney before
commencing wor our Npfrce of Commencement. ; zf
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Hol e
STATE OF FLORIDA ` I J STATE OF FLORIDA '5J.
1_ LU/I•�
COUNTY OF �, L 1A C 1 e COUNTY OF T 1
The forgoing instrument was acknowledged before me The I oing instru ent was acknowledged before me
this I'� day of -IT (V , 20�by this I=day of�\ A(U ,20 L by
(Name of person acknowledging J (Name of person acknowledging)
V ' v '
(Signature of Notary P lic-State of Florid ) (Signature of Notary Pu lic-State of FI ri
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission Not 7loa� Y ($��I7,HER VIZZO Commission No ��71ao�(Oiv any ( HER VIZZO
c� �o NOTARY PUBLIC N�q NOTARY PUBLIC
W i Comm#FF176266 Comm#FF176266
Revised 07/15/2014 'r"NCE19i% Expires 11/13/2018 �� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS