HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
_. . Baa
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
RROPOSED IIVIPR30VEMIVT LO`CATIQN
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Address: 7785 Green View Trl
Legal Description: RESERVE PLANTATION-PHASE I- LOT 62
Property Tax ID#. 3321-801-0062-000-6 Lot No.62
Site Plan Name: Mark A Edwards Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIONt"9R5
Install 2 Accordion Shutters
Additional work to be ertormed under this permit—cnecK all appy:
HVAC Gas Tank F]Gas Piping � Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator E] Roof
Total Sq. Ft of Construction: S Ft.of First'Floor:
Cost of Construction:$ 1706.00 Utilities. Sewer E]Septic Building Height:
C►INNER/LESSEE CONTRACTOR
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ti..;., .
Name Mark A Edwards Name: Michael Heissenberg
Address:7785 Green View Trl 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.772-801-9774 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.
SUPPLEMENTAL CONSTRUCTIC7N LIEN LAW lNF4RMATi�N s` i 3, is
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DESIGNER/ENGINEER: _ of Applicable MORTGAGE COMPANY: x Not Applicable
Name: wa Illi[ Name:
Address;-64�� Address:
City:-A� States City: State:
Zip:—lr,&– Phone 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 recording our Notice of Commenceme t.
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_Signature of wner/Lessee/Agent Signattre o Coractor/License Hold r
STATE OF FLORIDA l � � STATE OF COUNTY OF ORIDA � \.A C I-t
FL
COUNTY OF �1'
The forgoing instru ent was ackno ledged before me The forTing instrument was acknowledged before me
this day of R(Y� (20 JLby this_day of V)W,(20 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary P lic-Statef r da) (Signature of NotaryP lic-State rida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission J; I�1oO��� (SepIIATHER VIZZO Commission No t ma(D� app I) HEATHER VIZZO
otA�Yq o a� NOTARY PUBLIC
� o NOTARY PUBLIC ( +:
_oQ v o Z =STATE OF FLO
00 Comm#FF176266
Revised 07/15/2014 -4V660;
��C°mm#FF176266 s�A�cE t9�� Expires 11/13/20
'V'66 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS