HomeMy WebLinkAboutBuilding Permit ApplicationAll Avk, ICABLE INFO MU§T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��01�='� Permit Number: aad3'd`t1d
t & `�._l`fE15 RECEIVED
- Building Permit Application MAR 16 2022
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Planning and Development Services St. Lucie County
Building and Code Regulation Division Commercial X Residential Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Hurricane Shuffers
sa-• .
Address: 7370 S OCEAN DR 416
Property Tax ID #:3522-607-0078-000-2
Site Plan Name:
Project Name: Perez
Install 1 accordion shutter f'
New Electrical Meter
Second Electrical Meter
(Affidavit required)
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
_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: $ 8,942.00 Utilities: —Sewer —Septic Building Height:
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Name CREATIONS BY DESIGN GROUP LLC
Name: Michael Heissenberg
Address: 14500 NW 2nd Ave_
Company: Expert Shutter Services
city: Miami State:FL
Address: 668 SW Whitmore Drive
Zip Code: 33168 Fax:
City: Port Saint Lucie State. FL
Phone No. 786-470-7639 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
from the Owner listed above)
State or County License 16572
It value of construction is 2500 or fnore, 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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DESIGNER/ENGINEER: _Not Applicable
Name: Tiitece, Ina
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MORTGAGE COMPANY: Not Applicable —'�
Name:
Address: 6355 NW 36th St. #305
City: Virginia Gardens State: FL
Zip: 33166 Phone
Address: �
City: Stale:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
'Address:
City:
Zip: Phone:
Zip: Phone:
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OWNER/ CONTRACTOR AFFIDVIT: Application is hi reby 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 permit will authorize the permit holder to build the subject stricture
which conflicts with any. applicable Homeowners Associat on rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners Associat on and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, 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; con_ult
with lender or an attorney before commencing work or recording our Notice of Commencement
Signature of Owner/ Lessee/Contractor nt for.Owner
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STATE OF FLORIDA
COUNTY OF St. Lucie
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 0� 1 day of _WIA—Ch , 20 2Zby
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Michael Heissenberg
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Name of person making statement.
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Personally Known x OR Produced Identification
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Typ f Identification Produced
WV ®l
(Signature of Notary Public -State of Florida)
pYARyq Shanon O'Shea
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Commission No. GG258038 (Seal)
NOTARY PUBLIC
STATE OF FLORIDA
a Comm# GG258038
Expires 9/12/2022
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
GROVE
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COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW
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