HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1_ 1T �� Permit Number: &M
1
7RECEI`." D N0\1 14 2016
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
PROP�®SED IkMPROUEMENT LOCATION s= FkE
Address: 413 PAUROTIS LN
Legal Description: PALM GROVE S/D BLK J LOT 9
Property Tax ID#-4511•-51.6-9657--ee8=6-- 73 L\\a d y Z � 1- CS d0—y Lot No.9
Site Plan Name: James L Meigs Block No. J
Project Name:
Setbacks Front Back: Right Side: Left Side:
D)=TAILED D'ESCRIPTIO'NC?FWQRK s ' �, � �N
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k. .wr �� !
Install 7 Accordion Shutters
CONS1'R#U'C1'IONIN'FORMATIOIVt -$ p�a �o-
Additionalworli-t-o-15-e—D-eRformed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping �_Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 2655.00 Utilities:Sewer OSeptic Building Height:
OWNiER/LESSEE e 4 CONTRACTOR xry y
Name James L Meigs Name: Michael Heisenberg
Address:413 PAUROTIS LN Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore Dr
Zip Code: 34982 Fax: City: Port St Lucie State:FL
Phone No.772-742-8118 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.
StIPPLEft//IEN1'AL C®NSl'Rl1CTl�®N LhEN 1N INiF®R+NIATL®N: `
r.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tlteco,Inc. 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
_Signature of Owner/Lessee/ gent - Signature of Contractor/License Holder
TATE OF FLORI (—STATE OF FLOR
COUNTY OF COUNTY OF
The for instrument was ackn wledged before me The fo going instrument was ackknowledged before me
thisday of y Q /1'1 20 EUby this tF day of AJ 6V lAbJ/'20 by
Michael Heissen4g Michel Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
'�Xoalkw (��
`'V 9// �
(Signature of Notary Public-State of FI i by (Signature of Notary Public-State of Flo a
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VIZZO /_I
Commission No. l 110 � p!�ss 5 Commission No c�+?��s ( HER VI720
;t71 ARY PUBLIC -�,-s� NO t ARY PUBLIC
-oma 'STATE OF FLORIDA
�o sRs"�� +STATE OF FLORIDA
or r' Comm#FF176266
Revised 07/15/2014
�SzQcg i9��b Expires 1.1/13/2018 Ws�f g�� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS