HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO(MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: 7" Permit Number: / Z0 1— O—D 3 7
RECEIVED
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Building Permit Application
JAN -4 2017
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
f?FtQPQSED tMPRO\/�MNT LOCATION
Address: 9679 Landings Dr
Legal Description: FAIRWAY LANDINGS PARCEL 10 LOT 8
Property Tax lD#: 3322-500-0030-000-2 Lot No.8
Site Plan Name: Albert J Cahen Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
77777777771
DETAILED DESCRIPTIQN C7F WORK
Install 1 Accordion Shutter
CQNSTRUCTION INON
Acid Nz
itiona I work to be nertormed underd this permit—check all[! appy:
HVAC Gas Tank F_]Gas Piping Shutters ❑Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 9468.00 Lltilities:n Sewer OSeptic Building Height:
..A
QWNER/LESS y,
O ACTOR .
Name Albert J Cahen Name: Michael Heissenberg
Address:9679 Landings Dr Company: Expert Shutters
City: Port St Lucie State:FL Address: 668 SW Whitmore
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No.772-349-3943 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.
SIPPLEMENTAL CONSTRUCTION LIEN LA1lU INFORMATION ;f
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: walterTillit Name:
Add ress:6355 NW 36th St Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: 305-671-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: x 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 inspection. If ypu intend o obtain financing, consult with lender oi attorney b re
commencing work or.r"Qrd—inA your Tice of Commencement.
s
_Signature of Owner/L ssee/Agent Signature Contractor/License older
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF Lu CI Q COUNTY OF J ' LUCI
The forgoing instrument was acknowledged before me The forgoing instru ent was acknowledged before me
this3dayof 6nua( 20 _Dby this 2dayof1af)Ul� 20 / by
Michael Heissenbkg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledgingQ�C_Pnlkvl"�
)
• � �
(Signa ure of ota7- lic-State of Florida (Signature of Notary Pu c-State of Florid
Personally KnownOR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.-V! 11�oo�(01O (Sea�EATHER VIZZO Commission 1\11-:_0 1 ba`� (Seal)
HEATHER V
Q��yotPttssa NOTARY PUBLIC ���tARYA"pU NOTARY PUBO
o o -STATE OF FLORIDA
Revised 07/15/2014 Comm#FF176266 W a Comm#FF176266
.94E 19 Expires 11/13/2018 .145E1g1$ Fxnirae 11113119018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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