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HomeMy WebLinkAboutBuilding Permit ApplicationPlanning 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 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5 - `1 - a' Permit Number:I 0,15 - ©15aD-i RECEIVED Building Permit Application MAY 1; 9 2021 Permitting Department St. Lucie County Residential PERMIT APPLICATION FOR: Shutter 4PRbPOSE#3)MPRQ'ME �CaAi�. '- ..rye �x v�+t+e^ � ,,.>. �„? -s ,_,,. _� �+ u ? ... �„ �. .s-•w`,aira$-u ..h .'.k>�t;rgv aW'j LCs rc ? 7 Address: 10310 S OCEAN DR 201 Legal Description: OCEANRISE CONDOMINIUM APT 201 AND UNDIV SHARE IN COMMON ELEMENTS Property Tax ID #: 4511-515-0009-000-5 Site Plan Name: Project Name: DeSousa Setbacks Front Back: X Install 1 accordion shutter EIHVAC 11 Electric Right Side: Left Side: Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 1,358.00 LJ Shutters DGenerator SCI. Ft. of First Floor: _ Utilities: Sewer 0 Septic Lot No._ Block No. QWindows/Doors 11 Roof Roof pitch Building Height: •¢^ Uw �*' k3 s .}Y .q i - 1 ,..,+x 1 �=Y 3 v^a Y .F, ,,. S.L 'v:-S h -- ,t '� '-Y b ""h F CQ <. a a a u�w"^`+ ,e l ..4.k�; .. Name Douglas J DeSousa Name: Michael Heissenberg Address: 202 Daniel Rd N Company: Expert Shutter Services City: Massapequa State: NY Address: 668 SW Whitmore Dr City: Port Saint Lucie State: FL Zip Code: 11758 Fax: Phone No. 516-697-7492 Zip Code: 34984 Fax: 772-871-0990 Phone No. 772-871-1915 E-Mail: 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 Name:_ Address: City: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone:_ State: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: _ Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attornev before commencing work or recording vour Notice of Commencement. Signature of Owner/ Le see/Contractor Agent for Owner ignature of Contractor/License Hgl er STATE OF FLCOUNTY aIV1 w n/t�p OF ORIDA . Q� -j ` un , OFORIDA ' COUNTY OFSTATE SvKor� to (or affirmed) and subscribed before me of sicaI Presence o Online Notarization this day of 202(� by Sworn to (or affirmed) and subscribed before me of �513 sical Pre ce r Online Notarization this day of 202J by `6 rLot IT,�� c ��1, OIR( Hei ��% Name of person making statement. J Name of person making statement. Personally Known OR Produced Identification Personally Known )0 OR Produced Identification Type of Identification Type of Identification Produced Produced qQ� (Signature of Notary Pi lic- State of Florida taylor O'Brien OtpRY Assn NOTARY PUBLIC Commission No. V '1. (� ATE OF FLORIDA (Signature of Notary Public- State of Florida ) Taylor O'Brien Commission NC �otPRY )NOTARY PUBLIC' o. GG958999 0TOF FLOP i Comm# 2024 ,STATE GG9589C REVIEWS FRONT -11VcE ZONING SUPERVISOR PLANS VEGETATION ys �� SEA TUI{'I`rLrEA9 �E res 211712 IviNGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/6/Z0