HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: j lam_ Permit Number:
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Building Permit Application JILL 21 2n%
Planning and Development Services
Building and Code Regulation Division PER.'41lTTi'NG
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter
I?ROPSED tMl? 01lE3MNT LOCATIfJNxEy 3 ' ,
Address: 8055 PLANTATION LAKES DR
Legal Description: RESERVE PLANTATION-PHASE IIA- LOT 38
Property Tax ID#: 3321-803-0042-000-6 Lot No.38
Site Plan Name: Michael A Ciardii Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED D_SCIPIOt n= .
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Install 17 Accordion Shutters & 3 Storm Panel Openings
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ONSTRUC`fION INFOtVlATIQ �
Additional worK toe e orme *un er this permit—c ec a appy:
HVAC E]Gas Tank OGas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 12,546.00 Utilities:cn Sewer 0 Septic Building Height:
OWNERJLE EE x_ _ '' CUi11TRAC7OR fl
Name Michael A Ciardi Name: Michael Heissenberg
Address:8055 PLANTATION LAKES DR 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.772-448-8206 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.
SUPpLEN�ENTA[ CC}NS�RUCT ON LIEN l.AW I FOR i4T�iON.
Y;. �„
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 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 ins ection. If you intend to obtain financing, consult with lender or an attorney before
commencing rk or)recording yor Notice of Commencement.
S
_Signature of Ker/Lessee/Agent Signature of Contractor/License Hold
STATE OF FLCOUNTY OFORIDA LSU f'� C UTNTY OFSTAE OF ORIDA ` , L\
The for ping instrument was acknowledge f�rbefore me The orying instrument was acknowledged before me
thisl =day of 20[ loby thi day of Ll L 20 �by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of NotarPuu ic-State of o a) (Signature of Notary Pub c-State o F o I a
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Personally KnoOR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced !ER VIZZO
Commission No. y (!jE THER VIZZO Commission No �1 P�aRyAs$ T RY PUBLIC
so NPb ARY PUBLIC CX ST,4 E OF FLORIDA
a� +STATE OF FLORIDA I Comm#FF176266
Com dce is Expires
Revised 07/15/2014 QE i9A0 Expires 11113/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS