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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: gp Permit Number: � 010 TO �tm e� Bulldl c a ► lication st Application perrsi ,� e Cell Planning and Development Services fit. 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 `PROVEM,ENT LOCATI(?IU < Address: 9960 S OCEAN DR 905 , Legal Description: THE MIRAMAR II UNIT 905 Property Tax ID#: 4502-702-0040-000-0 Lot No. Site Plan Name: Block No. . Project Name: Liebschwager Setbacks Front Back: X Right Side: Left Side: X NU DETAILED l 7,RIPTION,tJF Uv.�RK' r .. Install 2 accordion shutters Ci TIONSTRUCTf MNb �. ,_ Addition wor to e e orme under this permit—c ec a apply: 11HVAC Gas Tank Gas Piping Shutters Q Windows/Doors Electric Plumbing Sprinklers 0 Generator El Roof Roof pitch Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ 12,497.00 Utilities: Sewer Septic Building Height: 01NNER/LESSEE.,.;. C 0(VTRACTQR Name Michael S Liebschwager Name: Michael Heissenberg Address:800 Semmes AVE Apt 904 Company: Expert Shutter Services City: Richmond State:VA Address: 668 SW Whitmore Dr Zip Code: 23224 Fax: City: Port Saint Lucie. State:FL Phone No.804-921-9917 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. Sl1Pi'LEMENTAL Ct)NSTR�1CTi0N LIEN I.AW �NFaRMATi© k H& � _ .�. .E, . . DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:. ' X Not Applicable Name: Tiltecolnc. 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 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 you intend obtain financing, consult with lender or an attorney b ore commencingwork or r or in our N ice of Commencement. s Signature of Owner/Lessee/Contractor as Agen or Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St.Lucie COUNTY OF The^f��rgoing instru nt was acknowledgedf�before me The forgoing instru en�t was acknowledged before me this 0�_A day of — 20JC)by this day of PRE). 20po by Michael Heissenberg Michael Hsissenberg (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known X OR�PRTducd3h kiQAIAA Personally Known x OR Produced IAg&alahea Type of Identification Produ NOTARY PUBLIC— Type of Identification Produce otPRYAss UBLIC Q �# o �STATE O alvc� TATE OF FLORIDA Commission No. GG258038 C��g GG258038 Commission No. GG258038 GG258038 E Expires 9/1212022 Expires 9/12/2022 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS