HomeMy WebLinkAboutBuilding Permit Application 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/18/15 Permit Number:RNA' S�
RECEIVED
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_... _ -�- Building Permit Application NOV 2 0 2015
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
PRC1i?OSED }"V1I RUVEMEN,LOCATION
Address: 9950 S Ocean DR 702 Jensen Beach, FL 34957
Legal Description: MIRAMAR ROYALE UNIT 702 (OR 694-2464)
Property Tax ID#: 4502-703-0028-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
ILILED DEF "rTPRIPTIU !`�1lVC►RK 4111
g m e
Installation of one (1) accordion shutter.
C(1 STRUCTIpN INFORMATION ( �
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Additional work to be ertormed under this permit—check all appy:
HVAC Gas Tank []Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5,710.00 Utilities: Sewer 0 Septic Building Height:
01�lERJLESSI=E j >> ONTRACTUR ig
Name Robert Christo Name: Michael Heissenberg
Address:25 Marsh Hill Rd Company: Expert Shutter Services, Inc.
City: Brimfield State:MA Address: 1626 S.W. Biltmore St.
Zip Code: 01010 Fax: City: Port St. Lucie State:FL
Phone No.413-245-3215 Zip Code: 34984 Fax: 772-871-0990
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: callexpert@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.
SUP�PLE1111ENTL CO"NSTRl1CTION LIES LAW iNEl+O`RMATIQNsk "��
-._
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tiiteco,inc. Name:
Address:6355 N.W.36th St.Suite 305 Ad d ress:
City: Miami State: Fl_ City: State:
Zip: 33166 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 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.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects, perform the 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 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 be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing wor ecorgl'ng your DKotice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Ic,ULCI' COUNTY OF
The f r in ins u ent was cknowled e b fore me The forg�o,ing instrxm` nt was cknowledged before me
this=day of Q 20 �by this "day of I V��e� J ,20 by
(Name of person acknowledging) (Name of person acknowledging)
C�f�
V o qz/' �
(Signature of Notary P bPubl'
lic-State to a) (Signature of Notary -State of Flor' )
Personally Known OR Produced Identification Personally Known OR-Produced Identification
Type of Identification Produced Type of Identification Produced
Commission NoT t�� ()HEATHER VIZZO Commission No. / *IRiEATHFR 1/t77O
�, NOTARY PUBLIC OTAR\ PUBLIC
c STATE OF FLORID STATE OF FLORIDA
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Revised 07/15/2014 .04§WISW Expires 11/13/2018 4RCE19�0 Expires 11/13/2018
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