HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 9
IRECEIV50
x DEC 2 3 2019
Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
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
PR`{}POSwIMPR0VEM I T LC~CA71C3N
Address: 10000 S OCEAN DR PH 5
Legal Description: THE MIRAMAR UNIT PH 5 AND PRO-RATASHARE IN COMMON ELEMENTS
Property Tax ID#: 4502-701-0062-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Jones
Setbacks Front Back: X Right Side: Left Side:
QTAILED DCR{PTION`C}F WORK" , �
Install 1 accordion shutter
CCNSTRUCTI7N INFORIITION
Additional work to be e orme un er this permit—check all Ti appy:
HVAC Gas Tank Gas Piping rV0 Shutters []Windows/Doors
Electric ❑ Plumbing Sprinklers ElGenerator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 4,503.00 Utilities:Sewer[]Septic Building Height:
OWNER/LESSEE COtTRACTOR
Name Christopher A Jones Name: Michael Heissenberg
Address:1725 SW Foxpoint Trail Company: Expert Shutter Services
City: Palm City State:FL Address: 668 SW Whitmore Dr
Zip Code: 34990 Fax: City: Port Saint Lucie State:FL
Phone No.772-266-4429 Zip Code: 34984 Fax: 772-871-0990
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.
SUPPL"EMENTAL CONSTRUCTION LIEN LAW INFORMATIQN
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiltecclnc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: Fl_ City: State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I ceftify 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 I or an attorn before
commencing work o, reco our NgCice of Commencement.
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Signature of Owner/Lessee/Contractor as Agen tor Owner Signature of Contractor/License Holder
STATE OF FLOI�4 STATE OF FLORIDA
COUNTY OF �lG COUNTY OFS - IIC'iP
The forgoing instrument—was acknowledged before me The forgoing instrnt was acknowledged before me
this._day of_ 20 Ig-by this o� u e
day of 20 __by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
&Ako&_ u
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known_\OR Produced Identification Personally Known OR Produced Identification
Type of IdentificationP5rjoduced Type of Identification Produced
Commission NAJnRby[Seal6anon O'Shea Commission No. ,o�M �eal)Shanon O'Shea
W-wCEISIe
Q� sem,NOTARY PUBLIC �, �NOTARY PUBLIC
STA RIDA �- t Revised 07/15/2014Comm#GG258038 ;�� � Comm#GG258038
Expires 9/12/2022 te► Expires 9/12/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS