HomeMy WebLinkAboutBUILDING PERMIT APPLICATION i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .-
Date: Permit Number:a lO 0 ° (DI
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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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O(C.h AFTa. r:cNeErT S P
,,P.hOF U M x � -•;' y A.e3°' � r3 ,A�.p aA'PP Address: 9550 S OCEAN DR'809
Legal Description: ISLANDIA,I CONDOMINIUM UNIT 809
Property Tax ID#: 4502-601-0073-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Tirabassi j
Setbacks Front Back: X Right Side: Left Side:
DETAILED �ESOf1P" ICi ? {1lORK '�
t p g v y a di'r y` '"., �' �
,stJ # a2 ,."va._. '_ 4,F�,"O ��` .�n
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Install 1 accordion shutter
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Additional work to e e olrme under this permit—check a apply:
11HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors.
1 0 Electric ❑ PI mbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:, S . Ft. of First Floor:
Cost of Construction:$ 3,637.00 Utilities:In Sewer 0 Septic Building Height:
C31lNERjLESSEE¢� F< E CtNTRACI-C)R
Name Todd Tirabassi Name: Michael Heissenberg
Address:7127 NW 44th St ! Company: Expert Shutter Services
City: Coral Springs State:FL Address: 668 SW Whitmore Dr
Zip Code: 33065 Fax: City: Port Saint Lucie State:FL
Phone No.954-263-3594 ! Zip Code: 34984 Fax: 772-871-0990 1
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
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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UP,P,t E MENTAL Ct)NSTR- 14tV Ll l LAW INFfJ�N. k�A 'U
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tilteco Inc. Name:
Address:6355 NW 36th St Suite 305 ; Address:
City: Virginia Gardens State: FL City: State:
Zip: 33t66 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: _Not.Applicable
Name: Name:
Address: I 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 grantingof 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 reco rding your Notice of Commencement.
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Signature of Own r/Lessee/Contracto s Agent for Owner Signature of Contractor/License der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.l.ucle COUNTY OF St.Lucie
The for oing instrument was acknowledge Wore me The forgoing instrument was acknowledged before me
this .q day of 1 20 by this_day of JIL 20 aL by
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Michael Heissen4g i 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
i Shanon O'Shea
Zug, o�l`RYAss ZARY o �n O'Shea
Commission No cdsNOjfARY PUBLIC Commission No. V° Ass �y
c a y RY PUBLIC
STATE OF FLORIDA
o 0 o STATE OF FLORIDA
•s�NCE 19�' Expires 9/12/2022 "FORE 19- omm#GG258038
Revised 07/15/2014 Expires 9/12/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS i
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