HomeMy WebLinkAboutBuilding Permit Application ALL APPLjC4BLE INFO MUST BE COMPLETED FOR APPLICAT ON TO BE ACCEPTED
Date: fo Permit Number:
s
Building Perit Application SEp 2 g 201
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 COm ercial Residential X
PERMIT APPLICATION FOR: Shutter
RROPQSEDuIItPR,OUEMENTLQCATIC)N .. . .
Address: 390 NE Solida DR
Legal Description: RIVER PARK-UNIT 9-PART C BLK 2 LOT 35
Property Tax ID#: 3419-570-0013-000-1 Lot No.35
Site Plan Name: Duc Quach Block No. 72
Project Name:
Setbacks Front Back: Right Side: Left Side:
F<.
DETAILED DECR)PTION OF WORK
as
Install 8 Accordion Shutters
CONSTRUCTION INFQRM'ATIQ(V4
Additional work to e e orme un er t is permit—c e a app y:
HVAC Ei Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4294.00 Utilit es: Sewer E]Septic Building Height:
OWNER/LESSEE TRACT R
Name Duc Quach Name: Michael Heissenberg
Address:390 NE Solida DR Company: Expert Shutters
City: Port St Lucie State:FL Address: 668 SW Whitmore
Zip Code: 34983 Fax: City: Port St Lucie State:FL
Phone No.772-336-1949 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 f Commencement is required.
1
5l1PpLEME ViA£R`C�NSTRUCTION LIEN LAWStNF L RMATla
DESIGNER/ENGINEER: x 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: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the i suance of a permit.
St.Lucie County makes no representation that is granting a permi will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association ules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association an review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do her by agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Code and St.Lucie County Amendments.
The following building permit applications are exempt from unde going 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 o Commencement may result in your paying twice for
improvements to your property. A Notice of Commen ement must be recorded and posted on the jobsite
before the first inspec ' . If you intendlo obtain fina ting, consult with lender or an attorney before
commencingwork r recordjng Mour Wice of Comme cement.
/V r1gi
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_Signature of Owner/Lessee/Agent Signature of Contractor/Lice se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF _5L% C ( COUNTY OF L��
The fo going instru ent was ack owledged before me The forgoing instrument was acknowledged Ibefore me
th. ay of Q 20 I Uby this�� ay of 5Q �Q cnb�e( 20 l J� by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging} (Name of person acknowledging)
aCOUAP,J
(Signature of Notary Pu lit-State of FI r' (Signature of Notary Pu lic-State of FlohAV
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
// � gARp` f` HEATHER VIZZO �T 1 U6(,f
Commission N �V/ �„ hSeORY PUBLIC Commission N 10 (t7 �pZARY VIPEATHER VIZZ0
o
STATE OF FLORIDA o@ °�NOTARY PUBLIC
t STATE
'P"E?191� Expires 11/13/2018s ��Comm#FF176266
Revised 07/15/2014 Cf19� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS