HomeMy WebLinkAboutFierro ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date*
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulotion Division
2300 irinici Avenue, Fort Pierce FL 34982
Phone: (772) 4 -1 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Shutter
Commercial x Residential
PROPOSED IMPROVEMENT LOCATION: j
Address: 9960 S OCEAN DR 1704
Legal Description; THE MIRAMAR ii UNIT 170
Property Tax ID . 4 -70 - - -7 -
Site Plan fame:
Lot N o .
Block Na.
Project Name: Firm --- --- ---
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
install 1 accordicl. shutter
CONSTRUCTION INFORMATION:
Jditional wor
HVAC
❑Electric
to be perforrned
Gas Tank
Plumbing
'Total Sq. Ft of Construction:
Cost of Construction: 10,032,00
OWNER/LESSEE:
Name Gary Firm
Right Side; X Left Side:
urn er t is permit — c ec a
Gas Piping
Sprinklers
apply:
u Shutters
Generator
. Ft. of First Floor:
Utilities: � :]Sewer � Septic
Address: 23 Basill Ln
City: East Northport State: NY
Zip Code: 11731 Fax:
Phone No. 51 fi-9$4-S0Q7
E-Mail:
Fill in fee simple Title Holder an next page ( if different
from the owner listed above)
Windows/Doors
E: Roof
Building Height:
Roof pitch
CONTRACTOR::.
........................
Michael He�ssenberg
Company: Expert Shutter Services
Address: 668 S V Whitmore r Dr
City. Part Saint Lucie State: FL
i - 4 F - 1-
---
Phone No. 772-871-1915
E-Mail: Callexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required..
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION..
DESIGNER/ENGINEER:
Name: T11te o Inc.
_Not Applicable
Address* 65 N th t Suite 05
City- Virgiinia Gardens State : FL
Zip- 33166
FEE SIMPLE TITLE HOLDER:
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
City:
Zip.
State:
Phone:
Not Applicable BONDING COMPANY: _Not Applicable
Name,.
Address:
City: _
Zip: Phone:
Name: -- _ -- Address:
City:
zip: Phone:
certify that no work or installation has commenced prior to the issuance of a permit.
t. Lucie Cou n ty m ak es n o re p resentation th at is granti ng a permit wiII authorize the permit hoIder to hu i Id the subject structure
which ii n contlict with any applicable i rules laws or and covenants that arestrict or prohibit such
���I l��n� rt��r� Association �in
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
[n accordance with the approved plans, the Florida Building Codes and St, Lucie County Amendments.
ments.
The following building permit applications are exempt from undergoing n a full concu rrenc review- room additions,
accessory structur swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO DINNER: 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 in nd to obtain financing, consult with lender or an attorney before
Commencing work or recording of Commencement.
Signature of Owner Les ee ontractor- as Ag
STATE OF FLORIDA
COUNTY OFSt, was
tfor Owner
The f going instru enft was acknowledge before me
this day of � 1� 20by
Michael Heissenb- rg
(Name of person acknowledging)
N
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of identification Produced
—T
�� � "a��
_
LA?\q2Commission No.-L NOTARY PUBLIC
_ _STATE OF FLCiRt
Revised 0lf 15/2014
t
Signature of Contractor/License I bld6f
k
STATE OF FLORIDA
COUNTY OF St. Lu_�
The for oink instrument was acknowledged before me
this day of , 20 by
rd ichacl Hissenberg
(Name of person acknowledging)
(Signature of Notary Public- State of Florida �
Personally Known x OR Produced Identification
Type of Identification Produced
h u 1q.VR iTaykar Q'SO'BrienCommission a.a� �
Expr2/17/2024
S
NOTARY PUBLIC
STATE nF R nPM❑,
Gonxn# GG958999
expires 211 712024
v
7r IE
lEl'
St-#lJT1`ER SERVICES INC.
*'We)*v -rThe 8ft,-Mar ln&"r By 4 �Z
�MGS- Olosan Dri
ve. UNt 1704
J$nen Beach, FL.3.4957
�AKONE
E
Zwl :1 10-f �v
Loll t. j ff�
wr
sse s.W. WHI-rMORF DR.,
PORT ST, LUCIE, FL 34984
(?'ie} $7i-1915 tBflUi 74.9-90`,6
FAX (772j 871-(1$9b �
uary Rem
S OceOn Drive, Unit 1704
Jensen Beach, FL 34957
OWNER
SALCONY AREA.
W ACWROiANS 3 CRV
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It
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57
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Lrd
41
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46
ip
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wim. ramw*o AU.- TOTAL $1 -*032
APPROX. ky
1.2,14 WEM�S
PAgM AND LAMOR.
W.OM AAE VALM FOR 3a oAyS.
PO -SIT $3r341
MO*t'AONi!b PROPERLY ISEE AAANTENWCE WtO
pp 133 .1.
BALANC• E
$6
VAm 77"2,229.9192
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