HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED \
Date: )1 Permit Number:
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R E C E I D i A N 13 7017
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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
PRC?POSED I'11110ROUEMENT.LOCATIQN 777777
Address: 105 Sheridan LN
Legal Description: 4 37 41 FROM SW COR OF LOT 6 BLK2 SPRING HILL
Property Tax ID#: 4504-310-0009-000-4 Lot No.6
Site Plan Name: Michael C Fort Block No. 2
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED QECRIPI"ION'OF 1N�RK
Install 20 Accordion Shutters
CC}NSTRUCTIC}N INFORMATION
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Additional work toe e orme under this permit-Check a appy:
HVAC E]Gas Tank E]Gas Piping Shutters ❑Windows/Doors
Electric ❑Plumbing Sprinklers E]Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 13,758.00 Utilities:cn Sewer Septic Building Height:
OWNER/LESSEE = CONTRACTOR:
Y
Name Michael C Fort Name: Michael Heissenberg
Address:105 Sheridan LN Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.571-276-1643 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 CONSTRUCTION LIEN LAlN INFQRMATI�N
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: WalterTllllt Name:
Address: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 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 yo intend to obtain financing, consult with lender or an a rney before
commencing w_oA%Qr-,recorc1ir1g your Notice of Commencement.
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_Signature of Owner/Lessee/A n Signature of Co tra or/LicenHol er
STATE OF FLORIDA STATE OF FLORIDA '
COUNTY OF :�
"f• ��LJ�CI Q- COUNTY OF L VCi
The floggoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
tF .h day of 0 LI 20 Eby this 11�8ay of�a n>�0P-A 20 n by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
0 gLX'2�r'�
(Signature of Notary P blic-State o i o a) (Signature of Notary Pu ic-State of b a
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Personal) Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification)Produced Type of Identification Produced
E 1rvr{�asvq�� HOT O
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HEATHER VIZL PlOTAR'd PUBLIC
Commission ,r(• eat) Commission No�� IG' ''"Jsda
NOTARY PULLI „;;.," ��
,air a: 'gin f 1a :+STATE OF FLOr.
c 'l c±STA1" OF FLC? 'IDA r C �� k ��Comm#F1`176'�'
uorillmis -.1 r';�ob xpires 11/1 2t U
Revised 07/15/2014 s�` � j� Ecr.Ftir� 1111 lt]1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS