HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
P'RQPQSED I(1/IPRO\/EMNT
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Address: 376 NETTLES BLVD
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 376N ANDPRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID#. 4502-501-0562-000-8 Lot No.
Site Plan Name: Pamela S Pals Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
�DETAILED
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Install 2 Bahama Shutters
CQNSTRUCTIN iNFQRl1lATIQN
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Additionalworkto be Derformed un er t is permit—check all appy:
HVAC Gas Tank E]Gas Piping Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1896.00 Utilities:cn Sewer F]Septic Building Height:
CQNTRACTOR,'
CIWNER/LESSEE ,¢ x � .,
_ .
Name Pamela S Pals Name: Michael Heissenberg
Address:376 NETTLES BLVD Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.708-218-1667 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.
5,f1Pf7LEMEfUTALCONSIRUCTfaN L� 'J LAW fNf=QRMATIQN ;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Waiter-riiiit Name:
Address:6355 NW 361h 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 to obtain financing, consult with lender or an attorney before
commencing work or_rec-grding youpNotice of Commencement.
/C� IdL
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_Signature of Owner/Lessee/Agent Signature of Contractor/License older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF LIA-CI-2 COUNTY OF •
34- LLAC I'2
The for oing instrument was acknowledged before me The for
instrument was acknowledged'before me
this 'day of 20-,by thisfh day of LA 20 L by
Michael Heissenb,�g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledgingpd� )
V akak_U
(Signature of Notary Public-State 00
ida) (Signature of Notary Public-State Vfyida)
Personally Known_�OR Produced Identification Personally Known OR Produced Identification
Type of Identification'Produced Type of Identific on Prodluced
Commission No�-i- 17 Wwa SeWATHER VINO Commission NA tDoa qss HV PUBLIC
,\W-YA I NOTARY PUBLIC o N
o •STATE OF FLORIDA
�� �STATE OF FLORIDA
o 10 COMM#FF1 om
Revised 07/15/2014 �s;cE?%N Expires 1111312018 s�,y4E Ag1' Expires 1111312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS