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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p�7 Date: SCANNED Permit Number: I 11—OO53 BY RECEEVE® St. Lucie,County Building Permit Application NOV 0 2 2017 Planning and Development Services PERNIITTiNG Building and Code Regulation Division St. Lucie County. FL 2300 Virginia Avenue, Fort Pierce FL 34982 - Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Shutter III Address: 9950 S OCEAN DR 901 Legal Description: MIRAMAR ROYALE UNIT 901 Property Tax ID #: 4502-703-0037-000-9 Site Plan Name: Project Name: Heldman Setbacks Front Back: X Right Side: Left Side: Lot No. Block No. '-DETAILED DESCRIPTION OF WORK. Install 2 Accordion Shutters �HVAC Gas Tank Electric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 7,869.00 111L—U Piping apply: Shutters ers L _I Generator S Ft. of First Floor: _ Utilities:n Sewer 0 Septic Windows/Doors Roof = Roof pitch Building Height: 01NNER/LESS•EE' ,. _CONTRACTOR:, Name Amelia M Crecco Name: Michael Heissenberg Address: 9950 S Ocean Dr Apt 901 Company: Expert Shutter Services City: Jensen Beach State: FL .Zip Code: 34957 Fax: Phone No.914-329-5356 Address: 668 SW Whitmore Dr 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 IT vame or construction is wbuu or more, a RCCCIRDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable Name: Tiitecuinc. Ad d ress: 6355 NW 36th St Suite 305 City: Virginia Gardens State: FL Zip: 33166 Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable Name: Address: City: Zip: Phone: ,e MORTGAGE COMPANY: Name: X Not Applicable Address: City: Zip: Phone: State: BONDING COMPANY: Name: _Not Applicable Address: City: 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 intend,Yo obtain financing, consult with lender or an attorryey before commencing work or rK-orftg� our Notice of Commencement. as STATE OF FLORIDA STATE OF FLORIDA COUNTY OFy� ( I _tl a COUNTY OF L—k—LC-a e The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this;2Sday of GLiabCY 20 .)1by this4-2-?!5day ofCC,-1-0►-JeY , 20 n by Michael Heissenberg Michael Hsissenberg (Name of person acknowledging) (Name of person acknowledging ) i�X �a1�LcS/t. AIIA I/ Signature o N tary Public-Stateof Florida) (S' nature of N t Public- State of Florida j Personally Known " OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No6e)1 U 4 2 Revised 07/15/2014 Haleigh Short Commission NOTARY PUBLI Comm# GG148342 Expires 6/25/2021 "aleigh Short NOTARY PUBLIC l:Omm# GG148342 Expires 5/25/2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS