HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' OV Permit Number:
RE`�i �l,.Tb E—+ �{a�'
l��_dl � E'
Building Permit Application NOV 18 20iG
Planning and Development Services
Building and Code Regulation Division PERMITTINGSt. Lucie Counfy, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter
I?;R06 E0:1 PR01lENfENT LOCATIf�`N `
Address: 8237 Maidencane PI
Legal Description: LAKE LUCIE ESTATES PLAT NO. ONE LOT 110
Property Tax ID#: 3426-703-0124-000-0 Lot No.110
Site Plan Name: William R Jones Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DEVILED DESCRIPTION OF WORK."n
:
Install 9 Accordion Shutters
CONSTRUCTION INFORMATION
�•y
6.
Add
t onal worK to be nertormed under tispermit—check a appy:
E1HVAC Gas Tank Gas Piping - Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2925.00 Utilities:n Sewer ElSeptic Building Height:
01NNER/LESSEE TO
?, CONTRACR
k
Name William R Jones Name: Michael Heissenberg
Address:8237 Maidencane PI Company: Expert Shutters
City: Port St Lucie State:FL Address: 668 SW Whitmore
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No.772-370-9130 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.
511PPEEMERAL CONSTFtUCTIQf� L"MRM 3,
K, _ �. N,
s
W.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: XX 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.
Inconsideration 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 Atain financing, consult with len or an at rney bef re
commencing workar r o i of Commencement.
ov
s
_Signature of Owner/L see/Agent J Signatur of Contract / 'cense Holder
STATE OF FLORIDA 1 ' STATE OF FLORIDA
COUNTY OF I • C'i� COUNTY OF C /
Th fo loin Instrume t s ack o I d ed before me The forgoing instrument as ac nowledged before me
thi �day of �Jn� 20 0 Eby this L-F'day of �/V -e/� -�20 Lj� by
Michael Heissen49 Michael Heissenberg
(Name of person acknowledging) (Nacv
gZZ7)
+ 11
(Signature of NotaryPu lic-State of FI (Signature of Notary P lic-State of Flori a
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
gyp HEATHER VIZZ / (�, o���y HEATHER VIZ-ZO
Commission N r17�� �Q SI�NOTARY PUBLI Commission No. 101 )NOTARY PUBLIC
STATE OF FLO IDA STATE OF FLORID
e' o 3 -
Revised 07/15/2014
'9Q0€WV; Expires 11/13/2018 Cei9Expires 11/13/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS