HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ( t,T� Permit Number:
iso $ 71
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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
PROPOSEDa 'PROVEMENT LOCATION`:
Address: 10000 S OCEAN DR 603
Legal Description: THE MIRAMAR UNIT 603
Property Tax ID#: 4502-701-0030-000-4 Lot No.
Site Plan Name: Chester L Baumann Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION.sOF 1NORK ;,,A ager ;` ,
Install 1 Accordion shutter
CONSTRUCTION INFORMATION r
Additional work to be nertormed under t ispermit—check a11 appy:
HVAC Gas Tank E]Gas Piping Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3,372.00 Utilities:Sewer Septic Building Height. 110'
OWNER/LESSEE: CONTRACTOR:
.. . ,off...
Name Chester L Baumann Name: Michael Heissenberg
Address:305 Foxcroft Cir Company: Expert Shutter Services
City: Holland State:MI Address: 1626 SW Biltmore St
Zip Code: 49423 Fax: City: Port St Lucie State:FL
Phone No.616-396-3002 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/ _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:•� ka�_'�111:�r "�" Name:
_Address.. ds �'+-� *oT Address:
City: ,r Stater City: State:
Zip: "31Phone 'ko5- f;T t -x"-I Zip: Phone:
FEE SIMILE TITLE HOLDER: x Not Applicable BONDING COMPANY: 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 Countty�makes no representation that is granting a ppermit will authorize the permit holder to build the subject structure
which is in conflict with an appiicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review yourdeed for any restrictions which"apply.
n-consideration•of-the
granting-of this-reques#ed-permit;.fdo-hereby:agree-#hat-t-will;-Fn-ail•respects-,-perform-thp-work..
in 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 TG,GVMER:Your failure.to Record a Notice of Commencement may result in your paying twice for
improvements to'your properly.A Notice.of Commencement must be recorded and posted on the jobsite
before the first inspecti :you.intend to twin financing,consult with lender oran attorney before
�commencin work-or re r In ur Noti bf Commencement.
s .
Signature,of Owner/Lesseo/A_gent: "__ Signature of Contracto Lic..._e H der
STATE OP.FLORIDA STATE OF FLORIDA
COUNTY OF st Lucw . COUNTYOF&uxft
The fnrotoing instrument was acknowledgedfore me The forgoing instrument was admowledged before me
thI1_LW,day of 0 20 ! .by this isIT dayof. 0 c rr .20 M'by
Michael He3ssenb�g Miciiaet Ffsissenbe+g
(Na of pe n acknowledging) (Name of person.acknowledging)
V .
(Signature of Notary Public-State of Fiori (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
HEATHERYIZZO vi
Commission No. _ PUBLIC Commission No. PU C
STATE OF FLORIDA STATE OF FLORIDA
Revised 07/15/2014 E>� 11113/2098 E>epires 11/1312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER I.REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE .
COMPLETE
INITIALS