HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: /OU-1•
RECEIVE®
Building Permit Application SEP 3 0%:2015
Planning and Development Services PERMIT71UG
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
�PRQPQSED IMPROVE(VIENT
Address: 10000 S OCEAN DR PH 3
Legal Description: THE MIRAMAR UNIT PH 3
Property Tax ID#: 4502-701-0060-000-3 Lot No.
Site Plan Name: Lucille Ditredici Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install 1 Accordion shutter
CONSTRUCTI'ON`INFORMATIO'N xp y
Additional work to be, perFo—rmed un er t is permit—check all appy:
HVAC Gas Tank ❑Gas Piping �_Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers E Generator 1:1 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
3,372.00 N0c- 110'
Cost of Construction:$ Utilities: Sewer Septic Building Height:
01I1/NER/LESSEE _'" `CONTRACTOR,.
Name Lucille Ditredici Name: Michael Heissenberg
Address:206 Montecito Crescent Company: Expert Shutter Services
City: Melville State:NY Address: 1626 SW Biltmore St
Zip Code: 11747 Fax: City: Port St Lucie State:FL
Phone No.772-229-3791 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 Applicable MORTGAGE COMPANY: x__Not Applicable
Name: Lr�itta✓::1. 3I 1 k `' Name:
Address:_ J5- �-► ; . 51- 5"Ai _*o< Address:
City: V1 lre.�Z-& State:- City: State:
Zip: 1`51 tP'tt' Phone: '905 ?t L I63t 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.
_
-Ire=consideration-of the-granting-of this-requested-permit;"1-do-hereby.agree-that-i-will;-in-ail-respects,-perform"the-work-
::in accoirdarice with-the;approved plaits;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 berecorded and postedon the jobsite
before the-first'inspectipm7q.you.intend to qbtain financing;consult with lender oran attorney before
-commencin work•or rewrlin"urNotio6of Commencement:
S .
_ Signure.of Owner/:LeWOAggnt:
Si ature of Contracto Lic e H der_
at :.
STATE OP-FLORIDA STATE-OF FLORIDA_
COUNTY OFSt tndi COUNTY OF stud-
The fnraoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of� i- 20 JSby thisZ111lday of SSet _,20 (-9'by
Michael Heissen4s Michael Heissenbacg
(Na of per n acknowledging) (Name of person acknowledging)
(Signature ofNotary Public-State of Flori (Signature of Notary Public-State of Flor )
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
-Type of1clentification Produced Type of Identification Produced
H�;HER" O Commission No. THER VRZO
Commission No. W, CARYPUBLIC CARY PUBLIC
STATE OF FLORIDA STATE OF FLORIDA
Comm#FF17eZ55
Revised 07115/20.14t9 ' Explres 11/13/2018 4 Expires 1111312D18
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