HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t
Date: Permit Number: i 1 I, 003q,
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 IMPiR61/EC1lIE-NT LOCA7IC+Nk{ ... . X ' h
Address: 8285 Sandpine CIR
Legal Description. LAKE LUCIE ESTATES PLAT NO. ONE LOT 53
Property Tax ID#: 3426-703-0067-000-2 Lot No.53
Site Plan Name: Bruce L Milne Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILEOR
D DESCRIPTION OF 1NK f
Install 8 Accordion Shutters
CONSTRUCTION INwFORN1ATfON
Additional wor toe e orme under this permit—check a app y:
HVAC Ei Gas Tank ❑Gas Piping V Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers EiGenerator 11 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1680.00 Utilities: Sewer Septic Building Height:
Name Bruce L Milne Name: Michael Heissenberg
Address:8285 Sandpine Cir 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.508-221-3561 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.
SCII�PLEMENTAL CC�NSTRUCTION,LIEN lA1N 1NFORMATI01��� � �� �` ��
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x 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: 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 you intend to obtain financing, consult with lender or an attorney before
commencing wor*-or-VecKding yootice of Commencement.
2,
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_Signature of Owner/Lessee/Age t Signature of Contractor/License Hof
STATE OF FLORIDA , L'U , STATE OY FLORIDA
COUNTY OF �T! 1. �� , L,uC)-e
The forgoing instr ent was a knowledged efore me The forgoing instr ent was acknowledged efore me
th6 --day of (Y� l 20 IIcy thO qday of ,(h 20 by
Michael Heisse4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
W-t± . 3d�&"I
V�'
(Signature of Notary P lic-State of Flo I (Signature of Notaryt Pu ic-State of Flori
Personally Known -7 OR Produced Identification Personally Knowny OR Produced Identification
Type of Identification Produced Type of Identification Produced ).
Commission NF )-)GoolG� (SOJATHER VIVO Commission No. ' � 6YJ QtpaY eal�iEATHER VIZZO
o��t9t�'sso NOTARY PUBLIC e3s�p NOTARY PUBLIC
A c LORIDA a "RTAM n;:m C)Pinl
Revised 07/15/2014 11� y-lam Comrn€t FF17626" S 1� Comm#PF176?.6v
sof.a`l 1g�b Expires 1111312018 ' is Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS