HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J J,
Date: 12/8/15 Permit Number: �J�) I� / W 6/
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RECEIVE®
Building Permit Application DEC /9 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
Address: 5159 N Al Apt 511 Fort Pierce, FL 34949
Legal Description: OCEAN HARBOUR CONDOMINIUM B-UNIT 511 AND UNDIV SHARE IN COMMONELEMENTS(OR 3743-388)
Property Tax ID#: 1411-706-0020-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Installation of two (2) rolling shutters.
Additional work to be nerformed under t is permit—check all appy:
HVAC Gas Tank []Gas Piping �_Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 1,940.00 Utilities:0 Sewer 0Septic Building Height: 70'
Name Ronald J Heagney(TR)Dianna E Heagney(TR) Name: Michael Heissenberg
Address:5159 N A1A Apt 511 Company: Expert Shutter Services, Inc.
City: Fort Pierce State:FIL Address: 1626 SW Biltmore St.
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.413-519-2346 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
1 111
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: rites,inc. Name:
Address: Address:
City: Miami State: FL City: State:
Zip: 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 befor
commencing work or record'rig Your Vtice of Commencement.
Signature of Owner/Agent/Lessee -sigKature of-Contract oKice—nse Holder
STATE OF FLORIDA -5,� STATE OF FLORIDA
COUNTY OF - COUNTY OF "� L U(' I'- e
T2coXing instrLMt was atnowledged fore me The for ing instriAment was ad nowledged before me
this this 4-r I
p V Q0 11`1 2 0
_day of -A- M 20 lt by day of --ZI,
-k — A- - �by
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(Name of person acknowledging) (Name of person acknowledging)
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9L/41-2:t= -cl _, fir Q�I . n.&
(Signature of Notary Pu ic-State WIE�rAa) (Signature of Notary P ic-State of FoidAg
Personally Known �7011 Produced Identification Personally Known Notary
Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No! t- HEATHER VIZI()Commission Nof HEATHER VIZzo
NOTARY PUBLIC NOTARY PUBLIC
RDA TATE OF RLORIM,
Comrn#FF176266 Comm#FF176266
Revised 07/15/2014 Expires 11/13/2018 E Expires 11/13/20111
STATE OF El 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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INITIALS