HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.
Pianning and Development Services
Building and Code Regulotion Division
23 0 Virg in is A ve n u e,, Fort Pie rce FL
Phone: ) -1 5 Fax: )462-1578
PERMIT TYPE: Shutter
Permit Number:
Building Permit Application
Commercial Residential x
PROPOSED IMPROVEMENT LOCATION...` -
Address: 10725 S Ocean DR Lot 37
Property Tax ID #. 4511-501 �0039-000-1
Site Plan Name. -
Project Name: Alabaster _.
Lot No.
Block No.
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Additional work to
be performed under this
permit
—check all
that apply:
_Mechanical
Gas Tank
Gas
Piping
_x Shutters Windows/Doors
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: 1,483.00
Sprinklers
Generator
Roof Pitch
. Ft. of First Floor.
ti I i t i e s .- Sewer Septic Building Height:
OWNER)TESSEE..'
Narne Donald Alabaster
Address: 10725 S Ocean DR Lot 37
City: Jensen Beach State: FL
ip Code* Fax,
Phone No. - - 2
E4 ail;
Fill in fee simple Title Holder on next page if different
frorn the Owner listed above)
CONTRACTOR:
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Name: Michael Heisenberg
Company: Expert Shutter Services
Address: SVV Whitmore Ear
P
cortit :. LucieState: FL
Zip Code: 34984 Fax*
Phone No -1-1 1
E-Mail permits@rthut'tr.o
State or County License 16572
if ,value
of
construction is
500 or more., a RECORDED Notice of Commencement is required.
If value
of
HVAC is $7,500
or more., a RECORDED Notice of Commencement is required.
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SU' P P L E MEN I`A L: CONSTR U CT 10 N Lf E N ''LAW'- IN FOR M, ATI 0 -N
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MORTGAGE COMPANY: Not Applicable
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I Address-:s35b NW 36th St Suite 30!�
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FEE SIMPLE TITLE :.y. ..._ a..0 u.+:�4n-m•
HOLDER: Not Applicable BONDING COMPANY* Not Applicable
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OWNER/ CONTRA DAFFIDVIT* Application ' here � t
i per m' d the work and installation ii
I certify that no work or in.stallation has comrnen(:ed prior, -to V10 issuance of a permit.
. LucieCounty.makes r r �' i that. i granting d permitwill authorize the. rm"ho'der build 'subject
Which 4 con m with any applicable Home Owners Association rules. bylaws r covenants that,may restrict ii .
structure, 4 y
n and review your deed restrictions which may apply,,
In con sider [on of the gra nfi n g 0i Lh i s requested p er -it, # do h erebyr that I wi11, In a I I re sp ects, perform the wog
in accordance withthe. appt,oved plans* the Fforida Building Codes and St. Lucie County Amendments.
The fallowing building permit applications are exempt from undergo"l! conCUr,rency• review} rooms addition
accessor structures, swimming pools, ., walls, signs, screen rooms and accessory uses to another non-resident"al
WARNINC TO OWNER YOUR FAILURE TO RECORID A NOTICE OF COMMENCZMENTMAY RESULT IN YOUR PAYING
IfWICE FOR IMPROVEMENTS TO YOURROP4 A NOTKE OF COMMENCEMENT MV RECORDED ANn
POSTED JOB SITE SEIFORE T141;FIRST INSPECTION,. IF YOU INTCND TO OBTAIN FINANCING,
WITH YOUR LENDER. .wrORNEY FORE RECORDING NOTICE OF COMME NQU
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Signature L r r lOwner
STATE OF FLORIDA
COUNTY tip :7? L�eC`:,�2,
The forgoing' trUTTI W,-ISa ck, nowl edged before m
this 1,.6 day of 2o2l by
Michael Heisenberg
*-W MW
Name of p; son, making statement,
Personallyr Produced Ident'fica-tioil
Type of Identificatioll
Produced
(Signature of Notary fiw Sta&et of
Commission No, GG258038
IW
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ii V OF ..R
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Signature ofContractor/License Holder
STATE OF FLORIDA
COUNTY OF &-! ;..{ Ii� �
Th-e
fo rgof ng
i n stru men t was ackn owledge d
before m e
,hip
16 day
x.. ra aplya... a
r 2 o 2 1
�v
by
Michael Heissenberg
���'^� h+'r++•l•7•I-I.7.4#AiWi�u•iYiaV�a--�T ..
Name ' person making statement.
Personally Known Y� . Ident1ficstion
Type ofidentification
Produced
000
(Signature of Notary Public- State of Florl
S 111 1 ' r
�� i GG258038
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FRONT ZONING1 SUPERVI-S.OR
COUNTER ` REVIEW � - w
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PONS
REVIEW
VEGETATION
REVIEW
6
SEA TURTLE
REVIEW
stlawn �
NOTARY Iq
VJSTATE Of FLOR D
18
W Comm# GG 1
_ 7
MANGROVE a
REVIEW
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