HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�
Date: Permit Number:A I� '� I
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Building Permit Application
IPlanning 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
iAddress: 5163 N HIGHWAY Al 120
(Legal Description. OCEAN HARBOUR CONDOMINIUM D-UNIT 120
Property Tax ID#: 1411-708-0004-000-6 Lot No.
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Site Plan Name: Block No.
Project Name. R&R Development
Setbacks Front X Back: X Right Side: X Left Side:
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,DETAILED D SCRCP7IONYC7 WfJRK '
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11Install 3 accordion shutters
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CC3 51ROCTIPN INFOR�ATIPIN'' a ,
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iAdditional work to e e orme under this permit—check a apply:
11HVAC Ei Gas Tank Gas Piping Shutters Windows/Doors
11 Electric E] Plumbing Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,805.00 Utilities:Sewer 0 Septic Building Height:
t 1 1N�R/ is� CC}NTT ACTC}R
Name Ronald E Ratz Name: Michael Heissenberg
Address:PO Box 10623 Company: Expert Shutter Services
City: Green Bay State:WI Address: 668 SW Whitmore Dr
Zip Code: 54307 Fax: City: Port Saint Lucie State:FL
Phone No.772-713-6475 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: 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.
J 1�L`C L CONS1 C01" �l �I IY LAVV i1Y
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiltecolnc. Name:
Ad d ress:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FI_ City: State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
,City: City:
Zip: Phone: Zip: Phone:
iI 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 lender or an attorney before
commencing work or recording our Notice of Commencement.
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s
Signature of Owner/Le see/Contract Agent for Owner Signature of Contractor/License er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The f ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20�by this day ofQ; (J111M 20 __by
Michael Heissenbtirg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-'State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GGssasss *NMR4%eT ylor O'Brien Commission No. ot1R Taylor O'Brien
ccs5asss o �ARY PUBLIC
TARY PUBLIC cSTATE OF FLORIDA STATE OF FLORIDA
o
Revised 07/15/2014 'r�NCE 19�� Expires 2/17/2024 ,iN E f9�� Expires 2/17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS