HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I JtJ�l ' Oma( d
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Building Permit Application SEP 3 0-2095
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
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PaROPOS ED 1f1%IPROUEMENT'LQCATION ,
Address: 10000 S OCEAN DR 903
Legal Description.. THE MIRAMAR UNIT 903
Property Tax ID#: 4502-701-0048-000-3 Lot No.
Site Plan Name: Michael Key Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIONOF WORK
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Install 1 Accordion shutter
C p>NSTRUCTIUN INFORIION
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Additionalwor tobenerformed un er t is permit—check a appy:
HVAC Gas Tank 0Gas Piping I/ Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers E Generator 11 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3,372.00 N �`'G Utilities: Sewer Septic Building Height: 110'
O,WNERf LESSEE CONTRACTOR
Name Michael Key Name: Michael Heissenberg
Address:6621 Pinetree Cir Company: Expert Shutter Services
City: Lake Charles Shores State:FL Address: 1626 SW Biltmore St
Zip Code: 33406 Fax: City: Port St Lucie State:FL
Phone No.561-315-9630 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.
'MOM
DESiGNERIENGiNEER: _Not Ap"'HicableMORTGAGE COMPANY: X Not Applicable
Name:` jig✓ 11 ;k ''�`' Name:
Address:. `5`� �"'w ` (�► 54' x. . Address:
City: Ci
Zip: 3t Phone: '3o5 - &I t L�� Zip Phone: State:
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 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 Horne Owners Association and review your deed for any restrictions which may apply.
ire-consideration•ofthe-granting-ofthis-requested-permit;-i-do-hereby.agreexhat-l-will;in-all-respects,-perrormthe-work-
'..in accordance witF-the:approved plans,'the Florida Building Codes and St.Lucie County Amendments.
Thefollowing building:permit,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.ANotice of Commencement must be.recorded and posted on the jobsite
before the.first`inspecti you.intend to taro financing;consult with lender or-an attorney before
-commencin workor re .. r in u.r Noti of Commencement.
?/ S ..
y Signature.ofowned lessee/Agent,- Signature of Corttracto/Lic e_H _der_
STATE OF-FLORIDA STATE OF FLORIDA-:-:
COUNTY OF at Lucie COUNTY OF si Woe
The fnrgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this%5day ofIGp
; 20 . S�d- '- 20 bbyy s� Myo
Michael Heissen4g; MichaeMelssenWril
(Na of per n acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Flori (Signature of Notary Public-State of Flo ' )
Personally Known X OR Produced identification Personally Known X OR Produced Identification
_Type of Identification Produced Type of Identification Produced
HEATHER VIZZO Commission No. TRER VIZZO
Commission-No. W�ARYPUIJLIC i TARY PUBLIC
STATE OF FLORIDA STATE OF FLORIDA
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Revised 07/15/20.14 � 1s - Expires 11/13/2018 O� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE -
COUNTER I.REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS