HomeMy WebLinkAboutBuilding permit application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j
Date: ��31 1� Permit Number:Al
RECEIV"77D JAN 13 17
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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 X Residential
PERMIT APPLICATION FOR: Shutter
FR(3POSED tMPROVEIUIENT:LOCATION .
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Address: 5055 N Al 505
Legal Description: BRYN MAWR OCEAN TOWERS BUILDING C UNIT 505 j
Property Tax ID#: 1414-601-0131-000-6 Lot No.
Site Plan Name: Angelo Schiraldi Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTIflNxOF WORK
Install 3 Accordion Shutters
CONSTRUCT 0N+INFORMATION i,,
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Additional workto e e orme under this permit—check a apply:
EJHVAC E]Gas Tank Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
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Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 4119.00 Utilities: _Sewer E]Septic Building Height: 80
owNER/LESSEE "CONT T R,
Name Angelo Schiraldi Name: Michael Heissenberg j
Address:5055 N Al 505 Company: Expert Shutters j
City: Ft Pierce State:FL. Address: 668 SW Whitmore
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.734-771-4791 Zip Code: 34984 Fax:
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.
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SUPP.LEMENTALCONSTRYUCTION LIEN LAW INFORMATION
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable 11
Name: WalterTillit Name:
Address:sass NW 36th St Address:
City: Virginia Gardens State: FL City: State:
Zip: 33168 Phone: 305-871-1530 Zip: Phone:
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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 to obtain financing, consult with lendoNr an attorney b fore
commencingwork o rdin our N ice of Commencement.
All is
_Signature of Owner/ ee/Agent Signature of Contractor lcense Holder
STATE OF FLORIDA ��`, STATE OF FLORIDA '
COUNTY OF L �. COUNTY OF VC/t
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The oTj Ing instrument was acknowledged before me The fprgoing instrument was acknowledged before me
this day of I t 20 J 7 by thisC�I } ,day of ail 20 by
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Michael Heissenberg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary P lic-State o o ) (Signature of Notary Pu Ic-Sta a orida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission N HEATHER Vls2(fSeal Commission No Seal
HEATHER V12`70
NOTARY POF3LIC
. . '4i%e Asa urn NOTApy pi on,
o f_o r -t STA?E OF FLORIDA
Revised 07/15/2014 s� �Y6 Coma#FF17G^GS °``� ,; � Comm#FF1762
t✓c�tg� Expires 11/13'/2018 6G
f REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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