HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� ` 5 Permit Number:
RECEI,,'p MAY 19.2015
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Building Permit Application
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
PRO'POSEDIMPROVEMENT,LOCATION:
Address: 9950 S OCEAN DR 1904
Legal Description: MIRAMAR ROYALE UNIT 1904
Property Tax ID#: 4502-703-0085-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Leonard H Spooner
Setbacks Front Back: Right Side: Left Side:
DETAILED,DESCRI'PTION";OF WOk"K "`''
Install 1 Accordion shutter
CONSTRUCTION INFORIVIATIO`N-
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Additionalwork to be performed under this permit—check all appy:
2
HVAC Gas TankGas Piping Shutters Q Windows/Doors
Electric 0 Plumbing ❑Sprinklers 1 Generator 1:1 Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4029.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE COIVTRAGTOR:
Name Leonard H Spooner Name: Michael Heissenberg
Address:9950 S OCEAN DR 1904 Company: Expert Shutter Services
City: Jensen Beach State:FL Address: 1626 SW Biltmore St
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No. Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: callexpert@aol.com
from the Owner listed above) State or County License: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION--
DESIGN ER
NFORMATION ;DESIGNER ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 thepermit 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
commencing work or recording our Notice of Commencement.
f
411 � s
ignature of Owner/Less a/Agent Signature of—Contract—or/License Ho er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF StLucie
The fAArgoing instrument was acknowledged b fore me The fotgoing instrument was acknowledged before me
Ei
thisl`11'�day of WVkJ 20 by this h`day of K 20 16 by
Michael Heissenb erg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of FloridaQ/ (Signature of Notary Public-State of Flo da�
LY
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
�gtARY HEATHER VIZZO
Commission No. 14MkR VIZZO Commission No. � WYPUBLIC
NOTARY PUBLIC STATE OF FLORIDA
Comm#FF176-766
blAlt:U FLORIDAie Expires 11/13/2018
Revised 07/15/2014Comm#FF176266
wel-aveExpires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS