HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED'
Date\6'1 Permit Number: S �" 6 o
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°LIVIPROVEMENT;LOCATIQN
Address: 10000 S OCEAN DR 803
Legal Description: THE MIRAMAR UNIT 803
Property Tax ID#: 4502-701-0042-000-1 Lot No.
Site Plan Name: Darrion S Daly Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION fJF UI%ORK:
Install 1 Accordion shutter
CONSTRUCTION INFORMATION: "
,.....
Additional work toe nertormed under this permit—check all appy:
HVAC Gas Tank []Gas Piping Shutters ❑Windows/Doors
Electric ❑ 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'
O1NN,ER/LESSEE 'CONTRACTOR:
Name Damion S Daly Name: Michael Heissenberg
Address:13966 S Cypress Cove Cir Company: Expert Shutter Services
City: 13966 S Cypress Cove Cir State:FL Address: 1626 SW Biltmore St
Zip Code: 33325 Fax: City: Port St Lucie State:FL
Phone No.954-980-9937 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.
c
D ESIGNERANGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Dame:„ --'Nip_I U sr '' Name:
.Address: 5" t'w-► � .1- SW ,O;? Address:
City: -- State.- City: State:
Zip: 3 t Phone:�'5 ?. I I -(46-31 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: XNot 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 ppermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners.Assocfation 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--onsideratldn•of-the'grenting of.Ws-reqnested-permit,--td"ereby:agfee-that-l-wilHwall-respepts;perform-the-work.
:.in accordance with t1ie:app"roved pians,the Florida Building Codes and St Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:mom'additions,
accessory.structures,.swimming pools,fences,walls,.signs,screen rooms and accessory uses to another non-residential use
WARNING TQ 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 be recorded and posted ore the jobsite
before the-first inspecti you intend to Iain financing,-consuit with lender or-an attorney before
-commencing .
work-or re . r m ur Notigtitif Commencement.
S .
Signature, wner/Lesse
of OeJAgent" - . -- Signature o#Contracto !i. OofVie!:_'_ V.
STATE w.IFIL®RoD.A STATE OF FLORIDA
COUNTY®E si wad . COUNTY OF
The frimoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I Sa'+day of C)01ir .20 !Sby this IVT day of O lr .20 14'by
by
M':cAae!Helssenb�g Mic�+aei Hei�enterg
(Na df pe n acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Flori (Signature of Notary Public-State of F1004
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
_Type of identification Produced Type of Identification Produced
HF 0"Commission No. _ AR PUBLIC Commission No.
rK
STATE OF FLORIDA STATE OF RpMDA
Revised 07/15/2014 0 1 Expires 11/13/2098 Expires 11113=18
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW I REVIEW I REVIEW I REVIEW REVIEW REVIEW
EINMDDATEM
PLETE
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