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HomeMy WebLinkAboutBuilding Permit Application i I All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L�I Date: Permit Number: C>IL s1 fl.LIUCDL © ' L ` Building Permit Application FEB 202z Planning and Development ServicesT. Lucie�Ol!fl' Building and Code Regulation Division Commercial X Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding PERMIT APPLICATION FOR:Hurricane Shutters s, ItPOSEQ,Al(PROVENCNT LOCATION , 4 Address: 10200 S. Ocean Dr. #505 Property Tax ID#:4511-518-0043-000-4 I Lot No. Site Plan Name: Block No. Project Name: Black oTA� Ea DcRITION`a1= woR� Install 4 accordion shutters i New Electrical Meter Second Electrical Meter (Affidavit requiired) NSTRU�7 DN INFCIRMATION', { �x , � �� {f Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank —Gas Piping X Shutters _Windos/Doors _Pond Electric _Plumbing _Sprinklers _Generator _Roof Pitch I Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 3575.00 Utilities: _Sewer _Septic Buiilding Height: 01�(NER LES EE % Ct?111TRACTOR: t Name Ronald Black & Toni Didona Name: Michael Heissenberg Address:1398 SW 160th AVE Ste 202 Company: Expert Shutter Services City:Sunrise State:FL Address: 668 SW Whitmore Drive Zip Code: 33326 Fax: city:Port Saint Lucie State: FL Phone No.954-384-2235 E- Zip Code: 34984 IFax: Mail: Phone No772-871-1915 Fill in fee simple Title Holder on next page(if different E-Mail permits@expertshutters.com from the Owner listed above) State or County License 1657,2 i If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. I 5 ro+ �i s+— �r�v+� '. ,gyp c""�,t»� �'.��r rT«s �x ,,3frr� �'3�"'��✓�`,; AcoNSTucT�oN DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Tilteco,Inc. Name: Address: 6355 NW 36th St.#305 Address: City: Virginia Gardens State: FL City: I State: Zip: 33166 Phone Zip: Phone: i FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: i 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 conflicts with any,applicable Homeowners Association rules,bylaws or and covenants that mayl restrict or prohibit such structure. Please consult with your Homeowners 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 coricurrency 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 attorney before commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contract as Agent for Owner I STATE OF FLORIDA COUNTY OF St.Lucie l Swor to(or affirmed)and subscribed before me of x Physical Presence or Online Notarization this day of `�)Fcl•r,, 20A by Michael Heissenberg Name of person making statement. I Personally Known x OR Produced Identification I Ty p f Identification Produced (Signature of Notary Public-State of Florida) Shanon O'Shea Commission No. GG258038 (Seal) a�°SpRYgss" NOTARY PUBLIC 0 'SSTATE OF FLORIDA =Comm#GG258038 s�NCE 19�� Expires 9/12/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE i COMPLETED ev 5/20/21 i I I