HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB E IINF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a+l Permit Number: I ( �
0
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 X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED-IMPROVEMENT LOCATION
Address: 4400 N Al# 901
Legal Description: PARAGON UNIT 9N
Property Tax ID#: 1423-805-0109-000-7 Lot No.
Site Plan Name: 1423-610-0014-000-6 Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK ,
Install 1 Accordion Shutter
ON INFORM.ATION . .. V
CONSTRUCTI
Additional work toa er orme under this permit—check ha appy:
HVAC Ei Gas Tank Gas Piping �_Shutters U Windows/Doors
11 Electric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3918.00 Utilities:t Sewer[]Septic Building Height: 110'
N& CONTRALTO R
. _ =
Name George T Beckman Name: Michael Heissenberg
Address:4400 N Al# 901 Company: Expert Shutters
City: Ft Pierce State:FL Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State: FL
Phone No.540-721-4097 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 CQNSTRUCTION LIEN LAIN IN[=ORMATION
�.. « . ad,,
A
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: WalterTillit Name:
Address:6355 NW 36th St 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 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.
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 inspecti If you intend tojobtain financing, consult with le r or an attorney before
commencing work o cor ur Not' a of Commencement.
s
_Signature of Owner/Lessee/ gent tl 6V
Signature of Contra or/Li -rise Holder
STATE OF FLORIDAL I STATE OF FLORIDA C ,�
COUNTY OF � ut C I-e COUNTY OF Lui
The for oing instr ent was cknowledg�j before me The forgoing instrument was `acknowledged before me
this�5�hday of U ,M 1 20 1�by this Ot day of LJ-1'(Q M h2l .20 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
i LIA)"i Q&�VA -
(Signature of Notary P lic-State of NOV (Signature of Notary Pub'c-State of Flori a
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
-V: I7�'l�I ot_y HEATHER VIZZO -IF� � qWy q'EATHER VIZZO
Commission No. OO�� `` �aI�iVTARYPUBLIC Commission No. oeaNOTARYPUBLIC
a`STF�TE OF FLORID o ;
V.
P% OF FLORIDA
Comm#FF176266
Revised 07/15/2014 s�✓cfiy��' Expires 11/13/2018 sof✓cfyol�
Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS