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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:Tl 1� Permit Number: j .. RECEI . D NOV04 2016 a 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 PROPOSED IMPROVEMENT LOCATIOht: Address: 4901 Grovers Rd Legal Description: 13 34 39 E 176 FT OF W 180 FT OFN 818.5 FT OF SW 1/4 OF NE 1/4-LESS N 60 FT- Property Tax ID#: 1313-132-0003-000-1 Lot No. Site Plan Name: Everett V Priest Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILE© DESCRIPTION ®F WORK: Install 2 Accordion Shutters CONSTRUCTION INFORMATION: Additional work toe e orme under this permit—check a appy: HVAC Ei Gas Tank ❑Gas Piping �_Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers E Generator 1:1 Roof Total Sq. Ft of Construction: SIn of First Floor: Cost of Construction:$ 85800 Utilities: Sewer Septic Building Height: O'WNEFt/LE�S�SEE: CONTRACTOR: Name Everett V Priest Name: Michael Heisenberg Address:4901 Grovers Rd Company: Expert Shutters City: Ft Pierce State:FL Address: 668 SW Whitmore Dr Zip Code: 34951 Fax: City: Port St Lucie State.FL Phone No.772-466-0374 Zip Code: 34984 Fax: 772-871-0990 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. go sm SUPPLEMENTAL CONSTRtJCTI©N LIa=" IINF©RMATI®N: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x_Not Applicable Name: Tilteco,lnc. Name: Address: 6355 NW 36th St#305 Address: City: Virginia Gardens State: Fl_ City: State: Zip: 33166 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 ins ion. If you inte d to obtain financing, consult with lender or an torney before commencing work or ing youAotice of Commencement. s _Signature of Owner/Lessee/Agent Signature of Contractor/Li nse Holh er STATE OF FLORIDA � ) J �Ac STATE OF COUNTY OFORIDA , L U(+ COUNTY OF ..1—i' f.' The for ing instrument was acknowledged before me The forgoing instrument wad ack owledged¢efore me this qday of N�U� �2 20 1�by this day of � 20 _(o by Michael Heissenbkg Michel Heissenberg (Name of person acknowledging) (Name of person acknowledging) 9LIW '�A/J� L - V i�� (Signature of Notary Public-Statqy Fyrida) (Signature of Notary Public-State of FI r a) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced (` / q RY I�, HEATHER VIZZO (' GG Commission No. -{ 1 71000',�c��-- �ahoTARYPUBLIC Commission NoFT 7� (S�al)HF-ATHER VIZZO a li ' STATE OF FLORIDA : : h!J'CARY PUBLIC eeffiFA#=47r,966 .. AF FLORID! ws�of tg\"� Expires 11/1312018 Y; r ,�iz ra7s2&6 Revised 07/15/2014 iir�s 111 31201 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS