HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
11/18/15 I
Date: Permit Number:
RECEIVED
� 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
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Address: 9950 S Ocean DR 1604 Jensen Beach, FL 34957
Legal Description: MIRAMAR ROYALE UNIT 1604 (OR 1078-2847)
Property Tax ID#: 4502-703-0070-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Installation of one (1) accordion shutter.
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Additional work toe nertormed under tispermit—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:$ 4,008.00 Utilities:Sewer F]Septic Building Height:
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:"OV",NER/LE$S E
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Name Richard Levy-Reel Corp Name: Michael Heissenberg
Address: 19122 Fisher Island Drive Company: Expert Shutter Services, Inc.
City: Miami State:FIL Address: 1626 S.W. Biltmore St.
Zip Code: 33109 Fax: City: Port St. Lucie -FLStateF
Phone No.305-753-9500 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.
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U'RILEMENTi4L CNSTRiCTiQIU LiE ! LAW EINFC}RMATI(3N =
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tiiteco,inc. Name:
Add ress:6355 N.W.36th St.Suite 305 Address:
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 work or reco,r4ing yo)oNotice of Commencement.
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_Signature of Owner/Lessee/Age Signature of Contractor/License of
STATE OF FLORIDA �`+'. L�C, STATE OF FLORIDA 1 LUCK
COUNTY OF COUNTY OF T
The for oIng instrument was a knowledge before me The fo�rI ing instrument was acknowledged before me
this$ day of Q 1�/1 20 15by this 1004 day of {� U�[Y)LW� 20 �by
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(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Pub'c-State of r" ) (Signature of Notary Pu lic-State i doff Flo
Personally Known OR Produced Identification Personally Known _ OR Produced Identification
Type of Identification Produced 1 Type of Identification Produced ! r
Commission No.Tti7 �D ��/ (SeaIAEATHER VIZZO Commission Nofr '=R VI
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REVIEWS FRONT ZONING SUPERVISOR PLANS ETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS