HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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 TYPE: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 10725 S OCEAN DR 315
Property Tax ID #: 4511-501-0053-000-5
Site Plan Name: Richard
Project Name: Richard
DETAILED DESCRIPTION OF WORK:
Installing 11 Panels
CONSTRUCTION INFORMATION:
Lot No. 8
Block No. B
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping X Shutters _ Windows/Doors
Electric _ Plumbing — Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 1,878.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Building Height:
Pitch
OWNERAESSEE:
CONTRACTOR:
Name Richard, Mark
Name: Michael Heissenberg
Address: 10750 S Ocean Drive Lot 315
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 978-407-3834
Address: 668 SW Whitmore Dr
City: Port St. Lucie State: FL
Zip Code: 34984 Fax:
Phone No 772-871-1915
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permits@expertshutters.com
State or County License 16572
.. __.__ . ..., ,,. a R„L„ ivuuce of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESI GNER/ENGINEER:
_Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name: Tiltecolnc.
Name:
Address: 6355 NW 36fh 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:
Applicable
Name:
Name:
_Not
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 t obtain financing, consult with lender or an attorn before
commencingwork o our No 2 e of Commencement. �f
ature of Owner/Lessee/Contractor as Agent r Owner
STATE OF FLORIDA
COUNTY OF
The f rgoing instrument w acknowledg efore me
this day of (/ 20Ljby
nature of Contractor/License Holder
STATE OF FLORIDA #
COUNTY OF jT IJIJ�I
The forgoing instrument was acknowledged me
this � day of 4— 20 d by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary P blic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No
T(��r� 1 O'Brien
NOTARY PUBLIC
STATE OF FLORIDA
(Signature oVNt Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. I�V a
Y �'Fdnbr O'Brien
NOTARY PUBLIC
Revised 07/15/2014 'NOrN Expires 2/17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
COMPLETE
INITIALS
Comm# GG958999
Expires 2/17/2024
VEGETATION SEA TURTLE MANGROVE
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