HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^ nn,,�� x
Date: Permit Number: AQV01 W—//fi�lJ
Building Permit Application
Planning and Development Services
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: 9600 S OCEAN DR 405
Property Tax ID #: 4502-620-0023-000-4
Site Plan Name:
Project Name: Haring
Install 2 accordion shutters
New Electrical Meter
Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping X Shutters
(Affidavit required)
Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 1,430.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Lot No.
Block No.
Building Height:
Pond
Pitch
a'W
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Name William & Linda Haring
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: 4100 NE 25th Ave.
Address: 668 SW Whitmore Drive
city: Fort Lauderdale State: FL
Zip Code:34957 Fax:
city: Port Saint Lucie State. FL
Phone No. 954-465-3466 E-
Zip Code: 34984 Fax:
Phone No772-871-1915
Mail:
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 16572
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.
Name: Tilteco, Inc.
Address: 6355 NW 36th St. #305
City: Virginia Gardens
Zip:.33166 Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State: FL
* Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
* Not Applicable
State:
BONDING COMPANY: * Not Applicable
Name: _
Address:
City:
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 Ipindpr or an attnrnev before commencine work or recordine vour Notice of Commencement.
Signature of Owner/ Lessee/Contrac.Q015s Agent 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 8 day of Feb. 2022 by
Michael Heissenberg
Name of person making statement.
Personally Known x OR Produced Identification
Type. of Identification Produced
(Signature of Notary Public- State of Florida) `may
Shanon O'Shea
Q Commission No. GG258038 (Seal) NOTARY PUBLIC o s STATE OF FLORIDA
Comm# GG258038
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Expires 9/12/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21