HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virg6
inia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED I.MPRO-----------
V ME NT LOCATION:- �- : , ; .e �. , _---------
_.
Ad dress: ----------
10000 S OCEAN DR 1005
Legal Description., THE MIRAMAR UNIT 1005 AND PRO-RATASHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-701-0056..000-2
Site Plan Name
Project
Name:
Gugfielmin
Setbacks Front X Back: X Right Side. Left Side:
bETAILED DE.SCRIPTlCIN' QF 1NORKO- - ------------------
Install 3 accordion shutters
Lot No.
Block No.
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Additi-onal-'wor to be eFFormed this permit
apply:
HVAC Gas Tank
Electric
,-. Plumbing
Em
Total Sq. Fit of Construction:
C-n-4;t nf Construction: 5�003.00
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-CONTRACTO.R
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WN.E E SSEE
Gas Piping LJ Shutters
Sprinklers
Generator l�
Sa., Ft,, of First Floo
Windows/Doors
Roof
Roof pitch
Utilities:
Name Paul Guglielmin
EEEEEEEMEEEM�
Address: 64 WAYMAR HEIGHTS BLVD
City. Vaughan State.ON
Zip CodeIF L4L 2P7 Fax:
Phone No, 905-581-4419
E-Mail.
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
�I Sewer
r:
ieptic Building Height:
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: 668 SVV Whitmore Dr
City: Port Saint Lucie StateState:FL
Zip Code: 34984 Fax: 772-871-0990
Phone No.. 772-871-1915
E,Mail-o Callexperteaol-com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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Signature of C wner/ Lessee./Cuntrimtor as Agent t4f 0, wncr
STATE OF FLORIDA
COUNTY OF !t__�.:�.
The, fo,'Ding instrument was acknowled�,ed before n7ethis . duty 04'.ft"Aft"R.1-ma 0 cllo�-[;._w_..._ , ZQg� by
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Name of person making stjatement:�%`
Personally Known OR Pro-duced lderitific�'."1001'1
Type of 1d(-mt1f1CatW1011
ProdUced
(S-6
ignature of Notary Public... State of
0
Commission No.
REVIEWS
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OWNER/ CONTRA OR AFFIDVIT-0. Applicab"oni"s herebymade to obtain a pettmi t to do t'he work and installati V on as indicated
_
I certity that no w n_i-k or it)stallat'on has commericpd prior- to thc, " . I1,-StIL M Lt.
St. Lucie Coun#y makes no represent�3tinn that is gm nting a permit will author*ze the permit holder to build the subject strudUrE�
Which is in Confli(:'t with tiny applicable Home. Owners AssociatG0ri rules, bykc,)ws or and covenants that may restrict or prohibit such
1,iructurr?. Plei-.ise consult with your Home Owner; Association and teview'your- deed for any restrictiorls which may apply.,
In c-on.s'lderation of the granting of this Permit, I do hereby agree that-1 will, in -till 1•c�spects, perform the work
in accordance with the approved plans. the florida Building Codes and St. Lucie County Amendments.
The fo'llowing building permit applications are exemp't fron) under�;�,irsg a ful! co'nc'urrency review: roam additions,
c,ccessory structures, swimming pools, fences, walls, sins, screen rooms end acceSsr�ry i�sc�s toanother non-resitiential use
"'MrARNING
TO OWNER: YOUR FAILURE TO
RIECORID A NOTICE OF
COMMENCEMENT MAY
RESULT IN YOUR PAYING.
TWICE
FOR IMPROVEMENTS TO YOUR
PROPERIN. A NOTICE
OF COMMENCEMENT
MUST BE RECORD AMID
POSTED ON THE JOB SITE BEFORE TNT FIRST INSPECTION.. IF YOU INTEINTENDTO OBTAIN FitYANCING, CONSULT
WITH YIDUR LENDER
ORNEY EFORE RECORDINC* YOUR NOTICE OF COMMENCliMEN
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Signature. of 'Contractor/ Lite, n se Holder
STATE OF FL'RIBA
COUNTY OF
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The for oing Instrume t was acktiowledge'd before me
thi's ._._...�_ day of ,_.��� —_)2(i� by
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Nof person making statement,
Person;-rflly Known 'v` OR Produced Identification
",type of lck:,ntiffcatlon
Pr6du(-.-,-,ed
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ignature of Notary Public- Statc.1, of Flor' Shanon (YSt*0
NOTARY PUBLI
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NT ZONING SUPERVISOR PLANS VEGETATION
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(..&OMPLE�•+,aa2.1771-9
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