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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 196& 0 -7 -7 (o SCANNED &=.Imago 0 BY RECEIVED BuSlt lkh'g' 'iPe'r'kiit Application JUN 2 8 2019 Planning and Development Services Building and Code Regulation Division permitting Department Lucie county 2300 Virginia Avenue, Fort Pierce FL 34982 St. Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Shutter PROPOSED MPRNEME Address: -10000 S Ocean Dr PH5 Legal Description: THE MIRAMAR UNIT PH 5 AND PRO-RATASHARE IN COMMON ELEMENTS Property Tax ID #: 4502-701-0062-000-7 Lot No. Site Plan Name: Block No. Project Name: Jones Setbacks Front x Back: _ Right Side: Left Side: Install 2 Accordion Shutters 11HVAC 0 Gas Tank OElectric 1:1 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 1,284.00 3as Piping ly IShutters Sprinklers 0 Generator S Ft of First Floor: Utilities.. Sewer 1:1 Septic i j []Windows/Doors 0 Roof = Roof pitch Building Height: :TCONTRACTOR: Name Christopher Jones Name: Michael Heissenberg Address: 1725 SW Foxpoint Trail Company: Expert Shutter Services City: Palm City State: FL Zip Code: 34990 Fax: Phone No. 772-266-4429 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 vdium to construction is.?zouu or more, a KLLUKLJtL) Notice Or commencement is required. l P MEN1AL GONSitttJ`CTI©NkLit��'CAV1/ 1W iRMATtOkV � �� . _ .,....: s -. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Tiltemmc. Name: Address: 6355 NW 36th St Suite 305 Address: City: Virginia Gardens State: FL City: State: Zip: 33166 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 intend to obtain financing, consult with lender or an attorney before commencine work or cecordini=_ voutr Notice of Commencement. ,----- ) n er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF tXAriC COUNTY OF S- v w Lc.�.e The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of c1\ )YiG 20 aby this day of [IJne 20 Slse_ by Michael Heissenb&g I Michael Hsissenbetg (Name of person acknowledging) (Name of person acknowledging ) Personally Known - OR Produced Identification Type of Identification Produced Commission Short of Florida ) 11 Personally Known OR Produced Identification Type of Identification Produced Commission No.Z, (Seal) o + o1A1EOFFLORIDA o` NOTARY PUBLIC Revised07/15/2014 .s �Comm#GG148342 0 �STATE OFFLORIDA �yeE 1g�e Exoires ,/9Fr�no, ? Comm#rr.�aaan� of 1e Expi es 5/25/ p, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANG♦RI COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS