HomeMy WebLinkAboutBuilding Permit Application I
I `
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n n
Date: Permit Number: a0 0
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
PROPOSED If1 PROYWENt
Address: 10000 S OCEAN DR 803
Legal Description: THE MIRAMAR UNIT 803 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID#. 4502-701-0042-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Daly
Setbacks Front X Back: Right Side: Left Side:
DETAILED DESCRIPTION QI= INORK
,:
Install 2 accordion shutters
CQNSTRUCTICN.�,,._ _, a.,,.,,,. , ,,Nd_�•F wC R�M: .A. TI.Q.N w"O?�>
Additional work to e e orme under this permit—check a apply:
1]HVAC be
[]Gas Piping Shutters Windows/Doors
a
11Electric ❑ Plumbing ❑Sprinklers Generator 11 Roof Roof pitch
I —
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 1,301.00 Utilities:In Sewer E]Septic Building Height:
i
fl Desiree D m on Dal C Michael
CT -
Name y Name. el Heissenberg
Address:13966 S Cypress Cove Cir Company: Expert Shutter Services
City: Davie State:FL Address: 668 SW Whitmore Dr
Zip Code: 33325 Fax: City: Port Saint Lucie State:FL
Phone No.954-980-9937 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.
li
<s rah -
� .: .EMEititTQ1STI .��TIOl1t LIW IN>= 14
RMATItJN � . �� � x
✓'� 1L' ='. „Va�.. _ a `"awn,,.,..'�',a' �fi �v'� --:� �'��,�z a_�. fr � �;,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X_Not Applicable
Name: TltecoInc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL 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:
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 lender or an attorney before
commencing work or recording our Notice of Commencement.
s
Signature of Owner/Lessee/Contract Agent for Owner Signature of Contractor/License Holder 61
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The fooing instr ment was acknowledged efore me The f oing instrument was acknowledged before me
thisday of 20 4by this day of 20 ? by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
U \ IR
(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. olml,,
Taylor O'Brien Commission No. QQ SSea�l ylor O'Brien
) y PRYq s�o NOTARY PUBLIC
� NOTARY PUBLIC o� STATE OF FLORIDA
Y Comm#GG958999 =Comm#GG958999
Revised 07/15/2014 s��cE le�� Expires 2/17/2024 S"NCE IS Expires 2/17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS