HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: Permit Number:_
RECEIVE®
Building Permit Application SEP 3
Planning and Development Services PERMITTING
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
=PRO—PQSED I PROVEMENT LO ATION
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Address: 10000 S Ocean DR Apt 503
Legal Description: THE MIRAMAR UNIT 503
Property Tax ID#: 4502-701-0024-000-9 Lot No.
Site Plan Name: Paul D Griesmer Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
`DETAILED DESRIPTION'OF WORK4 " '
Rr
Install 1 Accordion shutter
CQNSTRUCTLON INFORMATION
Additional work to be nertormed underE]is permit—c eca ! appy: '
HVAC Gas Tank Gas Piping _Shutters
11Windows/Doors
P
Electric ❑Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3,372.00 Utilities:cn Sewer Septic Building Height: 110'
QWNER LESSEE , ' CONTRACT®R
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Name Paul D Griesmer Name: Michael Heissenberg
Address:10000 S Ocean Dr Apt 503 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.772-229-5148 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: expertpermits@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.
"DESGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: w Not Applicable
Name: iNAtk.wi 11 r `, Name:
Address: 5 r � fb� a1' 5 � ''.��' Address:
City: , ._ . ._._ . ._. . ._... State:. -. Cit State:
e s t
Zip: -133Y Phone: 1t -.x'31 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 Counttyy 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.
. dry-consideration-of the-granting-of this-request-ed-permit;.i de-hereby_agree-that-i-wili-in-all-respeicts;perform-the-work - - -_..._______
'..in accordance with'the:approved plans,-thee Florida Building Codes and St.Lucie County Amendments.
The following buildingpermit applications are exempt from undergoing a full concurrency review:room additions,
accessory.structures,swimming,pools,fences,walis,.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 inspecti .you:intend to tain financing;*consult with lender.or•an attorney before-
zommencin .
work-or re . r in ur Nati of Commencement:
?/ S .
_ T Signature.of Owner/:lessee/Agent;_: Signature of Contracto/Lic-,..e_H d.er-- _-..
STATE OP-FLORIDA STATE OF FLORIDA.-
COUNTY
LORIDACOUNTY OF shag COUNTY OF slLude
The fnrgoing instrument was acknowledged before me The forgoing,instrument was acknowledged before me
this day of r#:1► 20 1 this40 ay of 'S�d— '- 20 bli► by
Michael Heissenbkg Michael Helssenberg
(Na ofper n acknowledging) (Name.of person acknowledging)
(Signature of�Notary Public-State of Flari (Signature of Notary Public-State of Fiore )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER IZZO �WTHER VIZZO
Commission No. QkARYpUBUC Commission No. .NOTARY PUBLIC
STATE OF FLORIDA STATE OF FLORIDA
Comm#FF
Revised 07/15/2014 Newit . Expires 1111312018 41 Expires 1111312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS