HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
BLfildi'ng and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone
462-1553
Fax: (772) 462-1578
PERMIT TYPE.0
: Shutter
Permit Number:
Building Permit Application
Commercial
Residential x
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Address-*: 10725 S Ocean Dr Lot 26
Property Tax ID #:. 4511-501-0028-000-1 Lot No. 26
Site Plan Name: Block No..
Project Name: English.
Install 1 roll shutter
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Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _Gas Piping X Shutters Windows/Doors
400004p�
Electric _Plumbing `Sprinklers � Generator _Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 11935000
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
C?WNER. . ... .....
/LESSEE: - Name Jerome & Carole English
Address: 10725 S Ocean Dr Lot 26
City: Jensen Beach State: FL
Zip Code: 34957 Fax
Phone No. 772-631-1884
E-Mail:
Fill in fee simple Title Holder on next nage (if different
from the Owner listed above)
.............
CO.NTRACTORV,
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Name: Michael He'issenberg
Company; Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Port St. Lucie Se.tatF L
Zip Code: 34984 Fax:
Phone No 772-871-1915
F.Mail permits@expertshutters.com
State or
County License 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Signature, of Con''tractor/License. Holde
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The fear aii7�� instrument was acknowied'ged before me
tt,i5.6i� day at , 20by
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Name of person making statenient4'�—�
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Pe,rSonally Known � OR f1roduced Ide.0
ntification
'iypr• of identification
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do commi,.S-PsinnNo.(�yj)rnrr11QS �IiiihihAt ._ .�„v,.e czCY25803� CoMmission No.
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DESIGNER/ENGINEER,, Not
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N a rn P, f: Tuiv7o- im; MORTGAGE COhAPANY. Not A.Pplicable
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FEE SIMPLE TITLE. HOLDER, viot Ar)plicablp,
Name:
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OWNER CONTRACTOR AFFIDVIT! Application is hereby made to attain <i permit to do the, work and installation as indicated.
I certify that iu work or instal1jition tips comrnenC(-.,,d priotr,o tfle issu ince of a permit.
St. Lucie Couny makes no representation that is granting,permit will authorize the perinift holder to buLld the subject structurewhichisCoa Ict with any a pficible Horne Owners A ion rules, bylaws or and tovenants that may restrict pr prohibit such
structure. FI(Ose consult with your H01C Owners Association ancl review YOLir deed fcsr arty restriclinns wl*fl'ch may apply.
In considera-tion Of the granting )-f thi; rec�uestwci permi't, I do he-.reby agree that I will, in all respects, perform the work
in accordance uvith thE� �approv�d flans, the Florida Buiiding Codes and St. Lucie County Amendments.
'The following buioldirig permit applications are eXP.MPt 11'0111 undergr�iav -a full concurrencY review: roorn additions,
accessory structures, swimming pooka, fe n ces, wall�c, signsc�vr ms
, s��c�� rooa i d accessory uses to anot. her non-residential use
"WbrtwiwG TO OWNERO* YOUR FAILURE TO RECORD A NOTICE tip' COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF rt*)hvMFjurrmiriuT m"eir eac ryrrnwrwrer� . W....
POSTED O-N THE J013 SITE BEFORE TH
WffH YOUR LENDER 0R ORNEY
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JR5T INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT'
EFORE RECOftViNG YOUR NCyTICE OF COMN�l11E� 9
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Signature at Owner/ Lessee/C'ont:t
tor as Ag.cnt f r Owner
STATE OF FLORIDA
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COUNTY OF
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The for,,0"ng instrurnent was acknowledge'd before me
this •_ day of W_-- Zb�2.� by
spin,
Name: of Wersori m,ikirzg statement, J 'r
Personally Knovvn _� C}R i�i•pduced Ident"fic-cition
Type of identification ._....................
PrO(fticed
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VEGETATION
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SEA TURTLE
REVIEW
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Shanon O'Shea
NOTARY PtJBL1d
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MANGROVF
REVIEW
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