HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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'INlPROVEIVIE'NT;IO.CATION
Address: 10000 S OCEAN DR 804
Legal Description: THE MIRAMAR UNIT 804
Property Tax ID#: 4502-701-0043-000-8 Lot No.
Site Plan Name: Richard W Bird Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DES'CRIPI-ION ;CUI/
►F ORK `"s'" " `
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Install 1 Accordion shutter
CONSTRUCTION INFORMATION-, R.0
Additional work to be ertormed unde t is permit—check all apply:
HVAC Gas Tank []Gas Piping Shutters Windows/Doors
11 Electric Plumbing ❑Sprinklers IlGenerator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 3,372.00 Utilities:cn Sewer O Septic Building Height: 110,
OWNER/LESSEE: w :'GONTRACTOR':'
Name Richard W Bird Name: Michael Heissenberg
Address: 10000 S OCEAN DR 804 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.412-596-0208 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.
JDESIGNER/ENGINEER: _Not Applicable MpRTGAGE COMPANY: x Not Applicable
Name: Jw _i 1:fi �" Name:
._Address:. 3 , _ g- S-sV& -*o< Address:
City; v: - State.--� City. State:
Zip: 3t Phone: 15o5 - $1 t -Lai Zip: Phone:
FEE SIMPLE TrrLE 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.
n-c-onsiderati6n-of-the
granting-afthis-rei}nested-permit;�ldo�er�ebyragree-that-i-cull{�n-ali-respects;perform-the-work.. .-.._...__.___._
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following bulldingr 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'lT'®.OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to you,property.A notice,of Commencement must be recorded and posted on the jobsite
before the-ficst inspect` . .you intend to Iain financing,"consult with lender or-an attorney before
-Commencingwork•or re r ln ur Noti of Commencement.
Signature.of Owner/LesseeJAgent. _Sigmature of Contracko Lic._._."_H der_
STATE OF'TLORODA , :- STATE OF FLORIDA
COUNTY OF se Lucie COUNTY OE&auft
The frimoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I SGr clay of C)0r20 !Xby • this I VT day of O Wit" .20 W by
Miiitiaef iiefssenl�g M'it�aet Heisenberg
{Na of pe n acknowledging (Name of person-acknowledging)
.�"o x_ .
(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'
Commission Na. ��RPLIBUG Commission No. FTWIARYPL18
LIC
STATE OF"FLORIDA STATE OF FLORIDA
Revised 07/15/2014 Expires 111/1312098 WNEE—E 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
.COMPLETE
INITIALS