HomeMy WebLinkAboutBuilding Permit Application - I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �) e—DO
Date: Permit Permit Numb �+
Building.'ft4 'D
REC"w1V
Permit Application MAR-fil 2021
Planning and Development Services Pel'r111tt1n Building and Code Regulation Division g Department
2300 Virginia Avenue,Fort Pierce FL 34982 X St. L eie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: Shutter
Address: 10000 S Ocean Drive#505
Legal Description: THE MIRAMAR UNIT 505 AND PRO-RATA SHARE IN COMMON ELEMENTS(OR 1507-1230)
Property Tax ID#: 4502-701-0026-000-3 Lot No.
Site Plan Name: Piscitelli Block No.
Project Name: Piscitelli
Setbacks Front X Back: Right Side: Left Side:
[� ,ALLED DE CRIPtION� �1NC► K,�� ��� ���s� � � � '' , � i�� � � � � � �
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Install 2 Accordion Shutters
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Additional work to be nerrormed un er t is permit—cneCK all apply:
11HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric Plumbing Sprinklers M Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ $1,301.00 Utilities:Sewer Septic Building Height:
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Name Jim Piscitelli Name: Michael Heissenberg
Address:10000 s Ocean Drive#505 -Company: Expert Shutter Services
City. Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34957 Fax: City: Port Saint Lucie State:FL
Phone No.440-263-2500 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.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tilteco Ino. Name:
AddreSS:6365 NW 36th St Suite 306 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.
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Signature of Owner/Lessee/Contractor a nt for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The fo going instrumerAt acknowledge,'before me The forgoing instrument was acknowledged before me
this day of �Y \ 2M by this day of ,20 by
Michael Heissen4rg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
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(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. C� (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS