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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: , Permit Number: C '" © sIr3- -11�2 �1111111111 Building Permit Application JUL t afij , Planning and Development Services ` Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 j-: Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Shutter Address: 3218 MURA DR Legal Description: SILVER LAKE PARK ADDN BLK 9 LOT 4 Property Tax ID#: 2427-603-0100-000-9 Lot No.4 Site Plan Name: Nex-Gen Partners Block No. 9 Project Name: Setbacks` Front Back: Right Side: Left Side: Install 11 Storm Panel Openings itiona wor to e e orme un er t is permit-c eckalFfhat apply: HVAC Gas Tank Gas Piping ,_Shutters ❑Windows/Doors Electric Plumbing Sprinklers 4 Generator Roof Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ 1167.00 Utilities.. Sewer O Septic Building Height: ftn ti x Name 0 Gey Sf)& L_LL_ Name: Michael Heissenberg Address: 1850 SW Fountainview Blvd #208 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.772-812-4349 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. � � f W110 DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:U 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 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 btain financing, consult with lender or an attorney before commencing work or-recordivoMbur NoW No ' of Commencement. S _Signature of Owner/Lessee/Agent Signature of Contrac or/Lice se Holder STATE OF FLORIDAf / I'n STATE OF FLORIDA L\-40/1 � I COUNTY OF L� l C COUNTY OF `J 1 The fog�Qin� Instrument was acknowled gg before me The fcMgoing instrument was acknowledged efore me this L3Jay of 20(�by this�t day of 0 � 20 ��by Michael Heissenb&g Michael Heissenberg (Name of person acknowledging) / (Nwne of person acknowledging) (Signature of Notary P lic-State of Flo i (Signature of Notary Pu lc-State of o a Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced , ti�yp ? Fj ATHER VIZZO g 4& H,EA TILER VIZZO Commission , e Commission No. �,f )TARY PUBLIC � - o Y PUBLIC " STATE OF FLORIDA o STATE OF FLORIDA om omm Revised 07/15/2014 I E1P Expires 11/13/2018 s 0POP Expires 11/13/2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS