HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^1'
Date: Permit Number: MOC t�
SCANNED ReCFnFo
BY Jul I,1
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Planning and Development Services Cu 9 e pd
Building and Code Regulation Division cie County ent
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: 9960 S Ocean Dr # 1705
Legal Description: THE MIRAMAR II UNIT 1705
Property Tax ID #: 4502-702-0075-000-4
Site Plan Name:
Project Name: Heldman
Setbacks Front Back: x
DETAILED QESCRIPTION OF WQ
Install 2 Accordion Shutters
Right Side:
Left Side:
Lot No.
Block No.
CONSTRUCTION
INFORMATION:,
.
AdditionaT-w-o-rk-to-b-er—n)eff-o-rmedunder
E1HVAC
tispermit-check
Gas Tank []Gas Piping
all
apply:
❑Windows/Doors
_Shutters
11 Electric
0 Plumbing
[]Sprinklers
Generator
❑ Roof Roof pitch
Total Sq. Ft of Construction:
S�Ftj of First Floor:
Cost of Construction:
$ 13,778.00
Utilities:
uSewer
OSeptic
Building Height:
`OWNERAISStE . _ `. ",
CONTRACTOR:
Name Norman Heldman
Name: Michael Heissenberg
Address:9960 S Ocean Dr #1705
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 845-774-9606
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
11 verve u! mnsarucuon is acauu or more, a i<ewnueu Notice or commencement is required.
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SUP,,PLEMENTAL'iCONSTRUCTION;LI(V
LAW INFORMATION '
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'
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable^
Name: Tiltece Inc.
Name:
Address: 055 NW 36th St Suite 305
Address:
City: Virginia Gardens State: I -
City: State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
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 attorne before
commencing www�Pxecmdine vawr Notice of Commencement. �1 �l
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF 4 k tc i P COUNTY OF S4- k a try P
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _SLday oft% i 20 aby thisf!> dayof 20 Aby
Michael Heissenbilg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
((Signature ¢f ryotarV7uublic-State of Florida )
1(Personally Known v OR Produced Identification
Type of Identification Produced
Commission No. C 144 2:;4 2- (Seal)
Revised 07/15/2014
Halef h Short
State of Florida )
Personally Known ' OR Produced Identification
Type of Identification Produced
CommissionNo.Grr N2!zQ2
FLORIDA
(Seal)
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OF FLORIDA
GG148342
s 012512
21
xolrP
/2021
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