HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application OCT 14 1016
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
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Address: 3200 N A1A 701
Legal Description: SEA PALMS UNIT 701 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax[D#: 1425-600-0057-000-4 Lot No.
Site Plan Name: Chris Matterson Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED pESCR1PTI0N QF V4/QRK � g
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Install 1 Accordion Shutter
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Additional work to b e nprtormed under this permit—check aMI/
apply: �
HVAC Gas Tank Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers I Generator ❑ Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 5532.00 Utilities: Sewer Septic Building Height. 100'
C4WNER/LESS s f CCINI`RACT }R
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Name Chris Matterson Name: Michael Heissenberg
Address:3200 N Al 701 Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.772-218-0030 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.
SI��PPLEMENI'AL C�NSTI�UCTtaN LI�t�`LAW (NFC3RNlATIt�N. � ����� � ` ��
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recor our Wtice of Commencement.
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_Signature of Owner essee/Agent Signalture of Contractor/ icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5 L, { C I COUNTY OF '�)-�, L
The for oing instr ent as cknowledged before me The forgoing instru ent was acknowledged before me
this, �ay of + 20 Lby thQ-0 ftday of -P>' 20 �by
Michael Heissenbkg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary 70R
c-State of Flor' (Signature of Notary Pu ic-State of F )
Personally Known Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
I _ oto s HEATHER VIZZO ��' /
Commission Not 7�!J D� VJ NOTARY PUBLIC Commission No. (p �o5d �� HEATHER VIZI
STATE OF FLORI A o ,� o NOTARY PUBLIC
o a o .�`f STATE OF FLORI
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Revised 07/15/2014 acs t9 Expires 11/13/2018 s��ce19►� Expires 11/13/20 8
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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