HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ryry
Date: Permit Number:
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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
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Address: 10044 S OCEAN DR 802
Legal Description: SEA WINDS CONDOMINIUM APT 802
Property Tax ID#: 4502-804-0058-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Duff
Setbacks Front Back: Right Side: Left Side: X
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Install 2 accordion shutters
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Additional work to be erformed un er t is permit—check all that apply:
11HVAC Gas Tank Gas Piping Shutters Windows/Doors
Electric 0 Plumbing Sprinklers E]Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,124.00 Utilities:Sewer OSeptic Building Height:
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Name Shirley Duff Name: Michael Heissenberg
Address:10044 S OCEAN DR 802 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.703-597-1061 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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SUP LEMENTAL' CONSTRt1CTIC7N,LI N LA1tW�IN�4JRMATION: k
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tiltecolnc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: Zip: Phone:
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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.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work i
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 ent for Owner Signature of Contractor/License Hold
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The f trurpent was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 ?Aby this�L day of 20 2, 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
Commission No. ccs5asss Taylor O'Brien ptNRY40 Ta for O'Brien
oZpR $ I) Commission No. GG956999 `N q so � I9'PUBLIC
o�NOTARY PUBLIC �711
" -+STATE OF FLORIDA .
,.a. _STATE OF FLORI A r`'g o
J L Comm#GG958 s191� 9
.Revised 07/15/2014 s/NCE " Expires 2/17/2024 Expires 2/17/20i 4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE IVIANGIROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS