HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST DE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
'W.
Planning and Development Services
Permit 'Number,
Building Permit Application
Building and Coale Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34992
Phone; (772) 462-1553 Fax; (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Hurricane Shutters
Address-
10701 S Ocean DR # 64
Property Tax bD #.4511-805-0046-000-6
Site Plan Name:
Project Name, Meftne T
DETAILED DES RIPTI0N DF WORK:
Install 1 clear Darrel & 3 accord4on shutters
New Electrical MOer Second Electrical Meter
CONSTRUCTION INFORMAPOW.
Additional work to be performed under this permit — check all that apply;
_Mechanical ! Gas Tank —Gas Piping 2L Shutters
Residential
(Affidavit required)
Electric , Plumbing _ Sprinklers — 6enefiator
Total Sq. Ft of Construction'
Cost of Construction: $ 2.289.00
Sq. Ft. of First Floor:
Lot No. 46
Block No.
Windows/Doors Pond
Roof Pitch
Utilities; _ Sewer _ Septic Buildkng Height:
Name Mark Mahone -
Addres,00701 8 Ocean DR # 645
City. Jensen Beach State: FL
Zip Code: 34957 Fax; _
Phone No. (61) 543-1196 E_
iv18 i�
Fill in fee simple Title Holder on next page lif different
from the Owner listed above
Name: Michael Heissenber
Company; Expert Shutter Services
Address: 668 SW 1dWhitmore Drive
city- Port Saint Lucie state, FL
Zip code; 34984 Fax;
Phone No77-871-1915
E-Mail permits experfshutters.corn
State or County License 1657
if value of construction is 2590 or more, a RECORDED Notice of Corn rnencernent is required.
If viaIue of HAVC is $7,500 or MOM a RECORDED Notice of Commencement Is required.
NFER: _ Not Ap
Name: ikDw, It -
Address: aasav}wlnsk.s
C[ty; virglrileGarbens State: FL
73p: 3316e Phone
FEE SIMPLE TITLE HOLDER:
Dame:
Address:
City.
Zip. Phone: _
Not Applicable
MORTGAGE COMPANY:
Name.
Address:
City:
Zip; Phone:
iONDING CO1iAI NY-
Name; _
Addfess:
City:
Zip: — _ Phone;
Not Applicable
—State'.
i Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to da the warm and installation+ as indicated.
I Certify that no work or installation has commenced priortothe issuan€e cf a permit -
St. Lucie County makes no representation that is rantin a permit will authorize the permit holder to build the subject structure
which canUts with an I applicable Korneowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consul t with your Homeowners Associatlorr and review your deed for any restrictions which may apply.
In {onsideration of the granting of this requested permit, I da hereby agree that I will, in all respects, perform the work
in accordance with the approved pJans, the Florida Building Codes and 5t. Lucie County Amendments.
T#ie following building permit applications $re exempt front undergoing a full con cureency review: room additions,
accessory structures, swimming pools, fences, walks, signs, screen rooms and accessory uses to another nor -residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in p V]ng twice for
improvements to your property. A Notice of Commencement rnu5t 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 leader or an attorney before eommencinR work or recordinja vnur Notice of Cemmencement-
Signatu n2 of Own er j Lessee f Contr actur' Agent for Own er
STATE OFFLORIDA
COUNTY OF St. was
Sworn to (or affirm ) end subscribed b0org me of x Physical Presence or Online Notarization
this clay of 2D� by I
kdic al Heissanbarg
Name of person making staterr.ent.
Personally Known x OR Produced Identification
Type of Identification Produced
{Signature of !Votary PubIIC-State of Rorlda)
Sharon O' hea
Corrrmission No. GG25SMS (Seal) NOTARY PUBLIC
STATE OF FLORIDA
Gorman# G0268038
Exp]res 9f12r2022
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