HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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FED 2021
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Building Permit Appkati®n 8t.LucieCounty
Planning and Development Services Permitting ,
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
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Address: 8800 S Ocean Dr. Apt 501
Property Tax ID#:3535-603-0035-000-7 Lot No.
Site Plan Name: - Block No.
Project Name: McGinnis
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Install 1 accordion shutter
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New.Electrical Meter Second Electrical Meter (Affidavit required)
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Additional work to be performed under this permit—check all that apply:- i
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_Mechanical _Gas Tank _Gas Piping ' X Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq.,Ft.of First Floor: &
Cost of Construction:$ 3,126.00 Utilities: —Sewer _Septic Building Height:ji
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Name Nancy K McGinnis (TR) Name:_Michael Heissenberg g
Address: 8800 S Ocean Dr. -Apt 501 Company: Expert Shutter Services
City: Jensen Beach State:FL Address: 668 SW Whltmore,Drive !
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Zip Code:34957 Fax: city:Port Saint Lucie state: FL ai
Phone No. 772-212-4706 E- Zip Code: 34984 Fax: €
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Mail: Phone No772-871-1915s
Fill in fee simple Title Holder on next page (if different E-Mail Permits@expertshutters.corh
from the Owner listed above) State or County License 16572 g
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.
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SU°�PLEMALCt}IUETIO�1 LEN LAlll/ 1NFCRM1 �}{ � 9 ..Iis ¢ 1t`.4j41i1 1; url , 4
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Tilteco,Inc. Name:
Address: 6355 Nw36th St.#305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone Zip:. Phone:
FEE SIMPLE TITLE BOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City: I
Zip: Phone: Zip: Phone:
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 may 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 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 attorney before commencing work or recording our Notice of Commencement.
Signature of Owner Lessee/Contractor a gent for Owner
STATE OF FLORIDA
COUNTY OF St.Lucie
Sworn to(or affirmed)and subscribed before me of x Physical Presence or Online Notarization
this�day of E& _ 2GQA by
Michael Heissenberg
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification Produced
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(Signature of Notary Public-State of Florida)
y Shanon O'Shea
Commission No. GG258038 (Seal) z�� NOTARY PUBLIC
STATE OF FLORIDA
=Comm#GG258038
NCI:is Expires 9/12/2022
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 5/20/21
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