HomeMy WebLinkAboutBuilding Permit Application All APPLJCAELEINFO MUST EEOOMPLEIED FORAPRJCAMON TO EEAOCI:T® b (�
Date: Permit Number: �-4
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Building Permit Application
Ranning and Development cervices oc'P oPpa
Building and CodeftulationDivision Commercial X Fesidential coG'��Pot
2300 Virginia Avenue,Fort Reree FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
PERM ITAPPUCATON FOR Hurricane Shutters q j
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Address: 8800 S Ocean DR Apt 903
Property Tax ID#: 3535-603-0077-000-3 Lot No.
Ste Plan Name: Block No.
Project Name: Gillibertii
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Install 1 accordion shutter
New Bectrical Meter 1hcond Bectrical Meter (Affidavit required)
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _GasRping X Shutters _Windows/Doors _Pond
_Bectric _Plumbing _Eorinklers _Generator _I;bof Rtch
Total Sq. Ft of Construction: E�. Ft.of First Aoor:
Cost of Construction: $ 3,940.00 Utilities: _Sewer _9aptic Building Height: g
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Name William & Joy Giliberti Name: Michael Heissenberg
Address: 8800 S Ocean DR Apt 903 Company: Expert Shutter Services
City: Jensen Beach gate:FL Address: 668 SW Whitmore Drive
Zp.Cbde:34957 Fax: City:Port Saint Lucie gate: FL
Rhone No.908-2022-8986 E Zip Code: 34984 Fax
Mail: Phone No772-871-1915 {
Fill in fee simple Title Holder on next page(if different E Mail permits@expertshutters.com i}
from the Owner listed above) Gate or County License 16572
If value of oonstruction is 2500 or more,a RE00I0M Notice of Commencement is required.
If value of HAVC is$7,500 or more,a REODRDED Notice of Commencement is required. it
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DESIGNER ENGINE _Not Applicable M ORIFGAGE OOM PANY- Not Applicable
Name: Tiitecc,Inc. Name:
Address: 6355 NW 36th St.#305 Address:
City. Virginia Gardens Sate: FL city: .State:
Zjp: 33166 Phone Zp: Phone:
FEE SIM PLETITLE HOLDER Not Applicable BONDINGOOMP Not Applicable
Name: Name:
Address: Address:
City: City:
Zp: Phone: Zp: Phone:
OWNER OONTRACTORAFFIDNAM 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 cch1anting a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeowners Rssoaa�ion rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consd t with your Homeowners Assoaation 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 aocordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing afull concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory usesto another non-residential use
WARNING TO OWNER Your failure to Record a Notice of Oymmencement 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 jobslte 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.
gnatureof Own r/Lessee/Contractor Agent for Owner
SrATEOF FLORIDA
OOUNIYOF St.Lucie
8nrorn o or affirme an subscribed bef r me of x Physical Presence or Online Notarization
this�day of b. 20t�y y
Michael Heissenberg
Name of person making statement.
Personally Known x ORP•oduoed Identification
Typeof Identification Produced
o () I _
(Sgnature of Notary Public-State of Florida) Z�Y Shanon 'Stle
NOTARY PUBLIC
Commission No. GG258038 (cal) 5�'sTATE OF FLORIDA
2 Comm#GG258038
ONCE A Expires g/12/2022
FEMBAIS FRONT ZONING SUPERASDR PLANS VE3E7ATI0N cfATURTLE MANGROVE
OOUNTBR REM E/V REVIEW FBA EW i EVI BN FBA EN REM BN
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