HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: *cn -003
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34981
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter
,r
Address: 7023 Willow Pine WAY
Legal Description: POD 6 PUD 1 AT THE RESERVE WILLOW PINES WEST AT PGA VILLAGE (PB 42-33) LOT 29
Property Tax ID#: 3322-621-0038-000-0 Lot No.29
Site Plan Name: Nancy Ridge Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
QETAILED QESCRIPTION 0�1NORK \
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Install 11 Accordion Shutters
CONSTRIlCT1QN INFORMATION x
. a
al work to be Derformed un er t is permit—check all appy:
11
HVAC Gas Tank —]Gas Piping V Shutters ❑Windows/Doors
11 Electric ❑Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 5354.00 Utilities:cn Sewer Septic Building Height:
Name Nancy Ridge Name: Michael Heissenberg
Address:7023 Willow Pine WAY Company: Expert Shutters
City: Port St Lucie State:FL Address: 668 SW Whitmore
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No.772-448-8168 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.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: WalterTilli[ Name:
Address: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: _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 ol-cp4ording your Notice of Commencement.
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_Signature of Owner/Lessee/Agent I Signature of Contractor/License older
STATE OF FLORIDA 1 �� STATE OF FLORIDA `
COUNTY OF , 11u C 1 COUNTY OF
The for oing instrument was acknowledg before me The forgoing instrument was acknowledged before me
this��hay of �Ul l �! 20 LS by this���'day of J � 1 � 20 t�by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
3(0 n'-LtQ 9Z ` - 1?
(Signature of Notary Public-State of I ) (Signature of Notary Public-State of FI 96,
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
�1 I. -1 S0.1tY HEATHER VIZZO THER VIZZO
Commission N I 1 JJuo I Commission NA�(P�* @o�W-Ya'ATTARY PUBLIC
lL:x' ��OTARY PUBLIC �
� ��ii.
.+STATE OF FLORID ld•� +STATE OF FLORIDA
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Revised 07/15/2014 'r/edliAV* Expires 11/13/2018 s"�dCEW Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS