HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: C�` LD Permit Number: ®®�
Building Permit Application
DEC 0 9 2016
Planning and Development Services PERMITTING5t. Lucie County, FL
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 1111IPROUEMENT LOCATIQ.N,
Address: 202 River Walk 18
Legal Description: RIVERWALK AT SANDS UNIT 18
Property Tax[D#: 1425-566-0018-000-6 Lot No.
Site Plan Name: Terri L Ferguson Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF WORK
Install 1 Manual Roll-Up Shutter
CQNSTRUCTION INFORMATION
s
Additionalwork� to e.performedd under this permit—chiick all h apply:
❑Gas Pi
❑HVAC Gas Tank I♦ i Doors
Piping Shutters Q Windows/
Electric Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1993.00 Utilities: Sewer D Septic Building Height:
OWNER/LESSEECONTRACTOR:
Name Terri L Ferguson Name: Michael Heissenberg
Address:202 River Walk 18 Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State: FL
Phone No.407-417-1025 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.
5UPPLEMEIVTAL CONSTRUGTIQN L1EN LA11U IN1=pFtMATfON
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: waiterTiliit 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 befor
commencing work o cor 1 ur Notic of Commencement.
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Sinature of Owner ent Signa ure of Contracto icense older
�Lssee/Ag
STATE OF FLORIDAL) STATE OF FLORIDA r
COUNTY OF �1 Lxc I-k COUNTY OF L LA(/Le
The o �oing instru ent was acknowledged before me The for oing instr ent was acknowledge before me
V his day of Q f 20 l�by this day of r 20 ba by
Michael Heissenberg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
C�\�fc\//�V� q&b��
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(Signature of Notary P lic-State F i a) (Signature of Notary Pub rfc-State o F i a)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
f 5E+ �S HEATHER VIZZO ��' Yti HEATHER VIZZO
Commission No. o� t(JARY PUBLIC Commission No. Sso„ tiol$9W)PUBLIC
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C .r'j STATE OF FLORIDA
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Revised 07/15/2014 Expires 11/13/2018 sii✓E Expires 11/1312018
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