HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO B � ACCEPTED
Date : Permit Number :
,� • "� ,r ,�
Buil ding Permit PPIication
Planning and DevefopmentServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ( 772 ) 462 - 1553 Fax : ( 772 ) 462 - 1578 Commercial X Resi d ential
PERMIT APPLICATION FOR : Shutter
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P-RO'POSED RU �3EM � C� T C,t� 3
F � t
Address - 9600 S Ocean Dr # 703
Legal Description ,: EMPRESS CONDOMINIUM UNIT 703 (OR 819- 101110
Property Tax ID # : 4502-620...0048.000.,.. 5 Lot No .
Site Plan Name : Block No .
Project Name : Plessner
Setba cks F ro nt Back: X R ight Side : Left Side :
�TAiLEp bE5C1�I.F'1"�(3 [� C3F
Installation of ( 1 ) accordion shutter
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�" �TR ,1CTId� �1 IN.
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A it iona wor tobe e orme un er t is permit — c ' ec all - apply :
HVAC Gas Tank Gas Piping � Shutters Wind
o w s / Do o rs
Electric 0qlftmmi PlumbingSpr inklers � Generator � Roof � Roof pitch
Total Sq . Ft of Construction : S . Ft . of First Floor :
Cost of Constructi on : $ 3 , 225 . 00 Utilities :� Sewer aseptic Building Height :
VESMEi.. ............
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N,T. ACTOile
Name Robert F Plessner _ Name ' Michael Heisenberg
Address : 9600 S Ocean Dr #703 Company . Shutter Services
city : Jensen Beach State : F� Add ress : 668 SW Whitmore Dr
Zip Code : 34957 Fax : City : Port Saint Lucie State : FL
Phone No ., 772m229-3467 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 : Callex-perteaol . 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 .
SU -P'PLEMEN--T--- -- AL-, Ct� �� � TJ-0'-N , 3E1� �4F� C,� R .. . .. .. ......
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DESIGN ER/ ENGINEER , � Not Appll* cable_ MaFtTGI�►G � COMPANY : Not Applicable
Namer TiltooD, Inc _ Name ,.
Address ,: 6355 NW 36ih St Su#* 305---------------
--- ---- Address 'd
CIty: Virginla Garclen, CJtr� t£' : FL C 1" t y : - : State :
Zips 33166 Phone' zip ; � .. ._._._.. . Phone .,
FEE S- IMPLE TITLE HOLDER ; � Not Applicable BON'DING COMPANY: Not .Appl 'lcable
Name : Name :
Address ,, -- ------- Address : - :
C oty ------P� ...... ------------- -- -----
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Zip ; Ph o t�e . .._. __.__ Zip : � Phone :
OWNER/ CONTRACTOR AFFIDVITv. Application is hereby rTiac� � to obtain a permit to do the work and instailatinn as ir� dicated .
certify that no work or installation h-as commenced prior to theissuance of a permit.
St . Lucie County makes no representation tha' tis gran
ting a perrrrit wil l authorize the permit holder to b ui ld the subject stru cture
which 1-5 in Conflict with any applicablvi Home owners Association, r�, les, bylaws or and . 'Covenants th at may restrict or prohibit such
structure , Plel,'ise consult with YOUr Home Owners Association and review your �ieed for any ' restric'flons which may apply.
In consideration of the gra nting of th , s requested PC. cn� it, I do hereby. agree. that 1 will , in all respects, perform the work
in accordance with the approved'
plans, the Horlda Building Codes an' �d St . Lucie County Amendments .
The following building permit applications are exempt from untlergc�ing a full concurrency review: room additi"ons,
accessary structures, swimming pools, f-enoes., wills, signs, SCrf� � ty t'pUt115 and accessory USQS t.qznot-her non �re ' I i�Efl�ial u5�!
"WARNING TO OWNERg YOUR FAILURE TA RECORD A NOTICE Off' COMMENCEN�NT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEMENTS T0 . Y0' 1UR PROPE�'tTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE IBIEFO'RE TH FIRST INSPECTION,, IF YOU IFITENID TO OBTAIN FINANCING, CONSULT
WITH FOUR LENDER-------- ----- ORNEY EFO
RE RECORDING YOUR NOTICE OF COM N� MENabb
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Signaiure of Owner/ Les-.� P. e/Con ' .;r� ctar <a =s Agent f4r Owner Signature of Contractor/Llcense Holde4r
STATE OF FLORIDA 5T'ATE OF FLORIDA
COUNTY OF., L ! ; -Moo" AMA t� ___ ____ - . ...... COUN7"Y OF � �.. li�' C�
The f oingl` ns.trument was acknowledge before me The for., ing instrument was ack �-� owiadg�afore rn�this day of _ • "I'll%
�0!�� by this day of ��-- b y
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Name of person making statement, Name or person maki ng sta tem e nt .
i
Personally Known DR produced Identification . Persrsna! (y Known � OR Produced IdentificationType of Identification -
Produced �`Ype of lde-)n Ci f i ratian
-.. ._.-- P ro d u c e d
(Signature of Nott) ry Public- State of-
PoOL-10 ('Sior) ature of Notary Public- State of Flo-
Shanon 0sh"
Commission Na J� 3 �°C g rtp�"t�. CIF fLoRIC7 �� Q _ NOTARY PUBLI
commo GG2N0� Commission NOf � 7A'T� OF FLOR C�
—---------- ries- ` Comm# GG2580
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REVIEWS FRONT ZONING � S tJFERVISC) R PLANS VEGETATION SEA TUR�'LE MA N G R O V E
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
BATE —�_�._�...,.. jolftw _.
RECE4VEC�
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