HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE
EII,NFIIO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: n-�y LD bC �jV� Permit Number: I
ECEIVE L Building,Permit Application
Planningand Development Services OCT 2 4 2016
P
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial R ential X
PERMIT APPLICATION FOR: Shutter
kb:1lV1PROVEMENT LOCATIC►N
Address: 813 NETTLES BLVD
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 813 ANDPRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID#: 4502-501-0999-000-0 Lot No.
Site Plan Name: Janice M McLaughlin Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
q` TAlLED DESCRIPTION OF WORK
�<
Install 12 Accordion Shutters and 8 Storm Panel Openings
CtJNS ,RUgiON INFMR ATION H
Additional work toe e orme under this permit—check a appy:
11HVAC Ei Gas Tank Gas Piping Shutters Q Windows/Doors
11 Electric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 5417.00 Utilities: _Sewer Septic Building Height
OtNNER/LESSEE"s55 ' K �'s CONTRACTOR
_
Name Janice M McLaughlin Name: Michael Heissenberg
Address:813 NETTLES BLVD Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.781-223-5110 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 CQNSTRUCTIQN LIEN LAW INFQRMATIQN.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: waiterTiliit Name:
Address:6355 NW 36th sr Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: 305-671-1530 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 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 NoKN'ce
of Commencement must be recorded and posted on the jobsite
before the first inspec ' . I ou inteo obtain financing, consult with I or an attorney b re
commencingwork or r rd' o of Commencem
s
_Signature of Owner/Lessee/Agent Signature of Contr or/License Holder
STATE
COUNTY OF FLORIDA / �C/ n COUNTY OF FLORIDASTATE OF �� f / /
Th or oing instr ment was ackpowledg9p before me The forgging instrument was acknowledged before me
th s lay of 201 F by thl�t�ay of 6(_-I 0b (_,20 _t�e by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
0�/
(Signature of Notary P blic-State of I UOV (Signature of NotaryPub c-State of FFlo id
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced If-
Commission No. I J( aoI6 (Seal) Commission No. 1[J (Seal)
HEATHER VIZZO �p40.RYq�� HEATHER V17-70NOTARY PUBF
1,40 1 AR r PUBLICO�0.RYgo O
- J�a
�z STATE OF FLORIDA o a STATE OF FLORIDA
Revised 07/15/2014 e Comm#FF176266 s�h� �Comm# FF176266
xpi es 11/13/2018 a
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS