HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: Permit Number.
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Building Permit Application
Planning and Development Services
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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 SAN
Ro
ow
Address: 5163 N HIGHWAY A1A 118
Legal Description: OCEAN HARBOUR CONDOMINIUM D-UNIT 118
Property Tax ID#: 1411-708-0003-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Perez/Lewis
Setbacks Front Back: X Right Side: Left Side:
sf ''` fi°jq �5"``S" # �3... ,' z�yg9CP" ` ��s
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Install 1 crank roll shutter
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Aclaitional work to _e errormed under this permit—check all apply:
11HVAC Gas Tank []Gas Piping Shutters ❑Windows/Doors
Electric 0 Plumbing []Sprinklers ❑Generator ❑ Roof F71 Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3,185.00 Utilities Sewer E]Septic Building Height:
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Name tl Z Name: Michael Heissenberg
Address:3151 SW 133rd Ter Company: Expert Shutter-Services
City: Davie State:FL Address: 668 SW Whitmore Dr j
Zip Code: 33330 Fax: City: Port Saint Lucie State:FL
Phone No.954-818-2296 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.
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DESIGNER/ENGINEER: - Not Applicable MORTGAGE COMPANY: XX Not Applicable
Name: Tilteco Inc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FI_ City: State:
Zip: 33166 Phone: Zip: Phone: I
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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. j
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 Own e Lessee/Contractor as ent for Owner Signature of Contractor/License Hold
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie.
The f r oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this r day of C1� 20.�by this� um
day of 61 � C 20 by
Michael Heissenberg 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
r1M1811ATaylor Taylor I
' ~ qqqt�OTARY PUBLIC LIC
Commission No.Q `���pRYq g�ATE OF FBORIDA
Commission No. qQ pSTATE OF FLORIDomen#GG958999 =Comm#GG958999
I°s �� Expires 211T/20 °si, a"6 Expires 211
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�1;E E P E
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW;
DATE
COMPLETE
INITIALS
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