HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/21/15 Permit Number:
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: 5049 N.A1A#1403 Fort Pierce, FL 34949
Legal Description: SEABREEZE AT ATLANTIC VIEW UNIT 1403 AND GARAGE 4-3
Property Tax ID#: 1414-613-0063-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Ferriero
Setbacks Front Back: Right Side: Left Side:
Installation of two (2) accordion shutters.
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A itiona wor to e e orme un er t is permit—c ec a I I that appy:
HVAC Gas Tank Gas Piping W_Shutters Windows/Doors
Electric ❑ PlumbingSprinklers 1:1 Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 5,491.00 Utilities:n Sewer Septic Building Height: 160'
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Name Ferriero, Tr��'QA Name: Michael Heissenberg
Address: 16 Mulberry Ln Company: Expert Shutter Services, Inc.
City: Mt.Arlington State:NJ Address: 1626 SW Biltmore St.
Zip Code: 07856 Fax: City: Port St Lucie State.NJ
Phone No.201-506-4654 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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SItPPl.EN{ENTA CaNS'TRJG�IUNMUNILAUV !N FRII/1�4TC3N
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tiiteco.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 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 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 recipirding your tice of Commencement.
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Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDAL 1 n STATE OF FLORIDA r
COUNTY OF 1 X COUNTY OF 5� L� C/�P'
The forgoing instrwnent was acknowledged a me The forging inst nt,was a knowledged before me
thio) day of 20 4 by this j> J-day of 20 by
(Name of person acknowledging) (Name of person acknowledgingP��O_'a��Q 2� — cvxp�w- qj'�
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(Signature of Notary Pu ic-State of Flor'd (Signature of Notary 70R
State of Flo d )
Personally Known OR Produced Identification Personally Known Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 17 a� (Se�I p,THER VIzzO Commission No t I �Cb��o Y4,tp(S Fa THER VIZZO
° NOTARY PUBLIC c ° NO ARY PUBLIC
-STATE OF FLORIDA
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W Comm#FF176266
Revised 07/15/2014Con1m#FF176266 s�NCE 190 Expires 11/13/2018
Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
=INITIALS