HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONh%
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: 1�1 `bq:3Iq
BY
'fi s"5 St. Lucie County RECIFE-9VED
Building Permit Application AUG 2 3 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
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Address: 9950 S OCEAN DR 1402
Legal Description: MIRAMAR ROYALE UNIT 1402
Property Tax ID #: 4502-703-0058-000-2
Site Plan Name:
Project Name: Caldera/Hart
Setbacks Front Back: X
I, -DETAILED'-D,S RIPTION`'OF
Install 2 Accordian Shutters
Right Side:
CONSTRCTIC3N'INFORMATIONs
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0HVAC
LJ
Gas Tank
11Electric
0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction:
$ 7585.00
Left Side:
Gas Piping ly SShutters
Sprinklers ❑ Generator
S Ft. of First Floor: _
Utilities: Sewer Septic
Lot No.
Block No.
Windows/Doors
0 Roof = Roof pitch
Building Height:
CONTRACTOR:
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Name Humberto Caldera And Maria Zambrano
Name: Michael Heissenberg
Address:2758 Pillsbury Way
Company: Expert Shutter Services
City: Wellington State: FL
Zip Code: 33414 Fax:
Phone No. 561-386-8865
Address: 668 SW Whitmore or
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
1.a!ur o! w11barucoon is pc566 or more, a rtewnueu notice of commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: rlteminc.
Name:
Address: 6355 NW 36th St suite 305
Address:
City: Virginia Gardens State: —FL
City: State:
Zip: 331e6 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you int9nd to obtain financing, consult wish.leOder or an attorney before
as
STATE OF FLORIDA STATE OF FLO A
COUNTY OF l ,� .0 r i COUNTY OF�sI`k _I CA Q
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of�(Jkc) , 20Eby thisl-l_dayof f'fUq,f�,201--7 by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging ) (Name of person acknowledging)
(Signature of Ndtary Public- State of Florida) (Signature of o ary Public- State of Florida )
Personally Known V/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced �j�/
Commission No GGJ(5 Halegh R (✓ mmission No.—1 ( aS—/ /(Seal)
NOTARY BW t Haleigh Russell
_ Y PUBUC
URGA
Revised 07/15/2014 Comm# GGtoe3gg STATE OF FLORIDA
t Expires 6/25/2021 . Ganm{EGG108399
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS