HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �Q' ate(' l( 42 _ Permit Number:
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Building Permit Application p
Planning and Development Services
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Building and Code Regulation Division PER:QflTTiNG
2300 Virginia Avenue,Fort Pierce FL 34982 St. Luc'. Counly, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter
Address: 9679 LANDINGS DR
Legal Description: FAIRWAY LANDINGS PARCEL 10 LOT 8
Property Tax ID#: 3322-500-0030-000-2 Lot No.8
Site Plan Name: Albert J Cahen Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
D TAIL p D �R TI_ IN�Q 'fit 0`R e
Install 8 Accordion Shutters
itiona worto e e orme un er t is permit—c ec a pp y:
❑HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric Plumbing Sprinklers 1:1 Generator 0 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 7177.00 Utilities:cn Sewer Septic Building Height:
01NNER�LtS�S � Y ' 3 y:CONTRACTCIR �
Name Albert J Cahen Name: Michael Heisenberg
Address:9679 LANDINGS DR Company: Expert Shutters
City: Port St Lucie State:FL Address: 668 SW Whitmore Dr
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No.772-349-3943 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: &�J��-
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tilteco.lnc. Name:
Address: 6355 NW 36th St#305 Address:
City: Virginia Gardens State: FL 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 or an attorney before
commencing work or r n our Noti of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDAi r STATE OF FLORIDA
COUNTY OF , I COUNTY OF '5 COUNTY L� Ac
L C L
The for �ing instr nt was ack iowledgjd before me The�foor+ oing instru ent was acknowledg d before me
this-�ay of 201 Gby tf>�t� ay of ft'R- 20 �by
Michael Heissen4g Michel Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of to l ) (Signature of Notary Public-State of I ri )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
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Commission No. ( 6DWO gpRYM
I HEATHER VIZZO Commission Noi ���a� HEA I HER VIZZI.
� ° NOTARY PUBLIC
��. ,)NOTARY PUBLIC ESTATE OF FLO A
STATE OF FLORI A Comm#FF'17626
Comm#FF176266 yCE lg Expires 113/23118
Revised 07/15/2014 'lkdE1QJ Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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