HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date:
Co Permit Number:
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RECEITED JUN z 2 7016
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
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PR®;P®SD li\/IPRO�UEMENT LO C`/\TON w `
W.:
Address: 3920 N A1A703
Legal Description: OCEAN PEARL CONDOMINIUM (OR 1842-1609)UNIT 703
Property Tax ID#: 1423-505-0023-000-9 Lot No.
Site Plan Name: Kenneth Kull Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
AN
®ETP►ILEA®�DES;CR�IP�TION�QF�WORK �` � r��� �' ��.�� �� � � " y ��: � ��
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Install 3 Accordion Shutters
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Additional work to e e orme under tis –checkpermit a Mutters,
py:
❑HVAC be
Tank Gas Piping at
Windows Doors
11 Electric 0 Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 860.00 Utilities. —Sewer Septic Building Height. 120
®11�/Nf- LESSEE n � k ;� CONTRA T®R '.
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Name Kenneth Kull Name: Michael Heisenberg
Address:3920 N AIA 703 Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore Dr
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.772-467-1009 Zip Code: 34984 Fax: 772-871-0990
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:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUP,1 MENTAL CONSTRUCTIQN LIEN LAW INFORiUiATION`.v
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tilteco.inc. Name:
Address: 6355 NW 36th St#305 Address:
City: Virginia Gardens State: FI_ City: State:
Zip: 33166 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 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 and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender o n attorney before
commencing work or our Not' of Commencement.
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41_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FL
COUNTY STATE OFORIDA I,UcI/�. COUNTY OFORIDA :S
The forgyoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
th`s 1S� day of n-Lel l�Q 20 &�by this ►5 day of ,a��/( 20 by
Michael Heissen4g Michel Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida (Signature of Notary Public-State of 1611611 ri )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
�I" 114ts HEATHER VIZZO
J , ZpRy ATHER VIZZO °c, NOl( �'UBLIC
Commission No, lod� o e��� Commission a IS9i1'I
r� TARY PUBLIC �. ^ t =•
,'�';a.; ��STATE OF FLORIDA
STATE OF FLORIDA �':f Com
Com FF1762.66 Expires
Revised 07/15/2014 sir4cfWlb Expires 11/13/2018 P es 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS