HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE IN O MUST JE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Date: I Permit Number:
-
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 IMPRQ.VEMENT LOCATION
Address: 6013 Alexandria Cir
Legal Description: PALM GROVE S/D BLK F LOT 9
Property Tax 1D#: 3410-503-0178-000-0 Lot No.9
Site Plan Name: William Nunamaker Block No. F
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WQRK
>_ .:,
Install 2 Accordion Shutters
CONST TR
R 11 INFORMATION s
M
itiona work to be nerformed under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping � Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1725.00 Utilities:cn Sewer Septic Building Height:
OVVNEFFf LESSEE CONl'RACTOR
Name William Nunamaker Name: Michael Heissenberg
Address:6013 Alexandria Cir Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34982 Fax: City: Port St Lucie State:FL
Phone No.570-850-8200 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 C(7NSTRUCTIQN LIEN LAW IN1=C}RMATION
�,.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: XX Not Applicable
Name: WalterTiliit 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 len ran attorney before
commencing workdr rec [aog yourPOtice of Commencement.
i
r ' s
_Signature of Owne ess a/Agent Signature of Contractor Icen a Holder
STATE OF FLORIDA + C I,� STATE OF FLORIDA
COUNTY OF l� COUNTY OF L LJ -C
The forgoing instcknowledged before me The for gping instrument was acknowledged before me
this)5trday of r ment was QI- 20 I�by this 1S=dQay of 20 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary7-OR
State ofiFloorda) (Signature of Notary Pu lic-Statee ofFloPersonally Known Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission N . 11 l QWO `Nnypal)HEATHER VIZZO Commission No. 7 (o �Qgpy gIVEATHER VI770
4o NOTARY PUBLIC OTARY PUBLIC
c; .;• 1�'
FT PT E OF FLORI A � STATE OF FLORID
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Revised 07/15/2014 °srg Expires 11/13/2018 �r19 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS