HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 16� �1 Permit Number: , �' )o 0
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
PROPOSED IN(RROVEMENT LOCATION
Address: 10000 S OCEAN DR 1003
Legal Description: THE MIRAMAR.UNIT 1003
Property Tax ID#: 4502-701-0054-000-8 • Lot No.
Site Plan Name: Lawrence F Caruso Jr Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED*DESCRiPTIONCIF WORK
Install 1 Accordion shutter
"CONSTRUCTION"INFOWATION � , .
Additional work toe performed under this permit—check a appy:
EIHVAC Ei Gas Tank ❑Gas Piping Shutters Q Windows/Doors
11 Electric 0 Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3,372.00 Utilities:n Sewer F]Septic Building Height: 110'
O.WIUER/LESSEE `CONTRACTOR `'
X i
Name Lawrence F Caruso Jr Name: Michael Heissenberg
Address:302 Bristol Ct Company: Expert Shutter Services
City: Holbrook State:NY Address: 1626 SW Biltmore St
Zip Code: 11741 Fax: City: Port St Lucie State:FL
Phone No.772-229-9282 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.
D
ESIGN ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: � _11:k �" Name:
. '9" w Address:
v` o State: City: State:
3 t Phone: ''�05 - S?t "t 631 Zip: Phone:
LEE TBTLE HOLDER: x Not Applicable BONDING COMPANY. x Not Applicable
Name•Address:
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.ruies,bylaws or and covenants that may restrict or prohibit such
structure.Please consult wrth your Home Owners Association and"review your deed for any restrictions which may apply.
R-oonsideratifln-of-the-granting-ofthis-requested-permit;-l-do-hereby:agree-that-l-wilHn-a{l-respects;perfa �
rm•therork.
.in accordance with the approved plans,the Florida Building Godes and 5t.Lucie County Amendments.
The following building:permit applications are exempt from undergoing a full concurrency review:room additions,
accessory struFtures,'swirriming pools,fences,walls,.signs,screen rooms and accessory uses to another-non-residential use
@ A83NiNG'S'CA bWki k.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 ain financin&;consult with lender or-an attorney before
-commencin .
work-or re . r in ur Notlafdf Commencement.
s .
Signature,of Ovgger/lessee/Agent" Signature of Conttado I is _ e_H fder_
STATE OF'IFLORIDA _ STATE OF FLORIDA"
COUNTY Of:scwde COUNTY OF&Lml-
The fnrgoing instrument was acknowledged fore me The forgoing instrument was acknowledged before me
thI9 I�'ulay of 0 . 20 !by this isT day of 0 e r .20 W-by
Whaet Hel..m q; Midmi Heissardwo
(Na of pe n acknowledging) (Name of person-acknowledging)
'" � � V
(Signature of Notary Public-State of Mori (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
HEATHERYGOD Commission No. S PUgu0 Commission No. �C
STATE OF FLORIDA STATE OF FLORIDA
X MY
Revised 07/15/2014 Expires 19/13/2018 Expires 11/13J2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW I REVIEW REVIEW REVIEW REVIEW
DATE
"COMPLETE
INITIALS