HomeMy WebLinkAboutBUIDLING PERMIT APPLICATION,0� ..."I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Date: SCANNED Permit Number: i 6 Q - 0-7 !R
BY
=y� W St. Lucie County
® RItI?7ven,
Building Permit Application JUN2,,g1018
Planning and Development Services
Building and Code Regulation Division pennitt.
2300 Virginia Avenue, Fort Pierce FL 34982 St. LIng D epe't nt
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter II
PROPOSED IMPROVEMENT LOCATION;
Address: 9960 S Ocean or #1005
Legal Description: The Miramar][ Unit 1005
Property Tax ID #: 4502-702-0045-000-5
Site Plan Name:
Project Name: Cooper
Setbacks Front Back: x
gETAILEp DESCRIPTION dr- WORk
Right Side: x
Install 1 Accordion shutter and 1 Panel shutter
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional worK to e
0HVAC 11
e orme un ert
Gas Tank
ispermit—c
❑Gas Piping
ec a
appy:
Shutters
❑
Windows/Doors
11 Electric ElPlumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 11,438.00
utilities..
Sewer D Septic
Building Height:
OWNERAESSEE
CONTRACTOR:
'
Name David Cooper
Name: Michael Heissenberg
Address: 9960 S Ocean or #1005
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-6136
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
it vame or conscrucnon is p[3uu or more, a necunueu Notice of commencement is required.
J
Name: Tiitecelnc.
S: 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:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.
is inoconflict with any applicable lHome Owne s Association rulesabylaws or and covenants that may estrictbor 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 inteT to obtain financing, consult with lender or an attornebefore
commencing work t�ordinl; YouYNoy tice of Commencemanr_ 11
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF¢ k k.lf ]Ie COUNTY OF1� w 1 Ct,C
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _aday of)lAf ic, 20 G by this -A day of Y Y1G 20 B by
Michael Heissenbtg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging ) ,
State of
of Votary Public,- State of Florida )
Personallykrfown OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. . (�ti, 2
. Id.e,gt, orlon Commission No. —r ( t{ —(4 2 gl(Seal
NOTARYPUBLI tpJP FS NOTARYPUBLIC
4TaTFr j7 _
Revised 07/15/2014 2 Comm#GG148342 ' _ "" C yr rLORIDA
�NCF19j0 Expires5125l2021 W Comm#GG148342 s�'vCF 19�0 E
xpires
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