HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED D—
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Building Permit Application z 4 zoos
Planning and Development Services
Building and Code Regulation Division BY:
2300 Virginia Avenue,Fort Pierce FL 34982 -
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSD.MPROUEMNT LOCATION. s€
Address: 3870 N Al A 902
Legal Description. HIBISCUS-BY-THE-SEA CONDOMINIUM BLDG 1 UNIT 902
Property Tax ID#: 1423-805-0048-000-1 Lot No.
Site Plan Name: Nancy W Manning Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESEtIPTICN OEWORiC �� � � .
Install 1 Manual Roll Up Shutter
CONTRUCTIr }N INFORMATION r
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Additional worK toe e orme under this permit—c ec a appy:
HVAC E]Gas Tank OGas Piping 12 Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers nGenerator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1461.00 Utilities: _Sewer 0 Septic Building Height. 110
tWNER LESSI CONTRAG (?R.r E � � ;
t:>„ x. =• ..,r,.<.s.t._ .>,
Name Nancy W Manning Name: Michael Heissenberg
Address:3870 N Al A 902 Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.772-229-0026 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 CO,NSTRUCTlON LIEN LAW 1NFC}RMATIQNn.
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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 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 or_r@cQrdir1gyour N Oqe of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder a `
STATE OF FLORIDA �4. IORIDA � Lu �)-�JCOUNTYOF COUNTY OF `C_
They r oing instru t w s a k owledged before me The forgoipg --+
instrument was acknowledged before me
this --day of �L (� 201(42-by thisi�da'y of (�( (��Q t� .20 by
Michael Heissenbkg Michael Heissenberg
(Name of person acknowledging) (Na a of person acknowledging)
(Signature of Notary Public-State of&&T—'d ) (Signature o Notary Pu:%OR
tate of Florida)
Personally Known OR Produced Identification Personally Known Produced Identification
Type of Identification Produced Type of Identification
(Produced
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-1r_ o1An HEATHER VI2Z0 ARYPUBLIC Commission No. Yq (�i' /!/JdCI�
Commission N 1 /�o .; SHER VI7Z0
STATE OF FLORIDA a ° NOTARY PUBLIC
o �' --STATE OF FLORIDA
s'1;7E jg1% Expires 11/13/2018 said 1��Comm#FF176266
Revised 07/15/2014 cera Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS