HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ] w7/]
Date: 12/8/15 Permit Number: 1 �I�l
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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
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Address: 4200 N A1A 211, FORT PIERCE, FL 34949
Legal Description: OCEAN HARBOR SOUTH BLDG B UNIT 211 AND UND INTEREST IN COMMON ELEMENTS(OR 1632-2059)
Property Tax ID#: 1423-501-0107-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Installation of trhee (3) accordion shutter and one (1) rolling shutter.
A itiona wor to e e Orme un er t is permit—c ec a appy:
HVAC �Gas Tank ❑Gas Piping �_Shutters �Windows/Doors
Electric um ng Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 3,993.00 Utilities:cn Sewer Septic Building Height: 70'
O1NER LE" iII" z
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Name Lawrence J Martiny Lynne Martiny Name: Michael Heissenberg
Address:2412 Oak Landing Dr Company: Expert Shutter Services, Inc.
City: Brandon State:_ Address: 1626 SW Biltmore St.
Zip Code: 33511 Fax: City: Port St Lucie State:
Phone No.813-655-4566 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.
O-N,sup� nn coNs`r u ioN fN 'oR W' 'N'
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tiltecojnc. Name:
Address: Address:
City: Miami State: FL City: State:
Zip: Phone: 305-971-1530 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 thepermit 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 As 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 recordinig vour Noti of Commencement.
Signature of Owner/Agent/Lessee Signature of Contfactor/LicenseHoder
STATE OF FLORIDA , L�,� C..'Q COUNTSTATE OY OFORIDA 7 ] L l� i"e
COUNTY OF ,,-/—
The forgoing instr ent was acknowledged before me The forgoing instru ent was a knowledged before me
thi }J'day of Z 20 1�by thisq-= day of i'3'1 / 20�by
r)l ),L h C1�' I - "T 11 5 9119 birlIq M ; hu I A�q S-m
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Publyt-State of I ri (Signature of Notary P lic-State QLVo
.1'da)
Personally Knowny/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission Noi7f-�)�(0d( Ip MA
LER VIZZO Commission NO-Ff) -)( d(D(0 y� Hdf%1F R VIZZO
NOTARY PUBLIC or NOTARY PUBLIC
STATE O
76266
Revised 07/15/2014W'r'*CE1S11;4
Comm#FF176266 Waw Comm#FF1113/2
Expires 11/13/2018 �'CE 19� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS