HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: UY
()S N Z--, RECEIVED
ale
Building Permit Application SEP 3 0.2015
Planning and Development Services
Building and Code Regulation Division PERMITTIN-3
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie CoWy. FI-
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IiVIPROVEME;NT LClCATON ;
Address: 10000 S OCEAN DR 504
Legal Description: THE MIRAMAR UNIT 504
Property Tax ID#: 4502-701-0025-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
F
QETAILEE)DESC, Z1111 11�RIPTION OF WORK
Install 1 Accordion shutter
CONSTRUCTION INFOR'MATIO'N '' w
Additional work toe e orme under this permit—check a app y:
HVAC E]Gas Tank []Gas Piping Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
�
Cost of Construction:$ 3,372.00 N t"'G Utilities:0_Sewer Septic Building Height: 110'
C+WNER/LESSEE #A, CONTRACTOR:
�, . .., aux.
Name Donal B O'Shea Name: Michael Heissenberg
Address:1064 N Tamiami TRL Unit 1513 Company: Expert Shutter Services
City: Sarasota State:FL Address: 1626 SW Biltmore St
Zip Code: 34236 Fax: City: Port St Lucie State:FL
Phone No.413-532-6040 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.
DESIGNER/ENGINEER: _Not ApplicablerAddress:
E COMPANY: x_Not Applicable
Name:L -11 ��' �`'
Address:. 35 �''w �{ at' . E. ..3.
City: it` : _.._ _.._.._ .. State:. .. City: State:
Zip: S'b1 Phone: 3o,5 - v?t -L6'31 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 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-cansideration-of the- rantin -of this-re-uest-ed ermit--l-do-herebagree-that-l-will--in-ail-res ects- erform•the-work - -__.._.._..._ _..
'An 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 fallure 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 finandrig;•consult with lender or-an attorney before
commencin work•or re . r in ur Notigeof Commencement:
/,.
_ T Signateire,of•Owner/_tesseeJAgent:.: Signature of Contracto jtic... e ,
_H der_
STATE OF-FLORIDA STATE-OF FLORIDA
COUNTY OF st Lude COUNTY OF stud-
The fnrgoing instrument was acknowledged before me The foreoinginstrument was acknowledged before me
this��60ay of 1!�;"+ 20 iSby this Z14day of �" d' '` 20 1 bby
Michael Heissenb&g - Michael'Helssenberg
(Na ofper n acknowledging) (Name.of person acknowledging)
- (Signature of'Notary,Public-State of Rori (Signature of Notary Public-State of Flor' )
Personally Known X OR Produced identification Personally Known X OR Produced Identification
.Type of identification Produced Type of identification Produced
HEATHER_VIZZO THEIR VlZZO
Commission No. _ ARy.PU6LIC Commission No. �ARYFIUSLIC . .
STATE OF FLORIDA STATE OF FLORIDA
Cw f FF
Revised 07/15/2014 i Expires 11/13/201$ 41 EXDWes 11/13/201$
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS