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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 P4RC}PC}SC? �R �/EMF {a II:OCATICtiL1' , �U �a�a�9,�,. Address: 9650 S. Ocean Dr.#905 Jensen Beach, FL 34957 Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 905 Property Tax ID#: 4502-610-0085-000-5 Lot No. Site Plan Name: Block No. Project Name: Duhaime Setbacks Front Back: Right Side: Left Side: r x DETAIE©�1 �)rl ' 101RM {3RD m, Installation of two (2) accordion shutters. n � ME CU,�4ff;llC1�'IC i 1NF40 IMP MN � � �.� Additional work to be nertormed 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: SFt.of First Floor: Cost of Construction: $ 6,493.00 Utilities:n Sewer E]Septic Building Height: 160' OUtiINER/LESSEE. ¢ " 4 CC}NTRAR fi C,,.....� PW Name Duhaime, L Name: Michael Heissenberg Address:30600 Ryan Rd Company: Expert Shutter Services, Inc. City: Warren State:MI Address: 1626 SW Biltmore St. Zip Code: 48092 Fax: City: Port St Lucie State:MI Phone No.586-995-1234 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. D U U �s U SUPPl.EMEN AL CONSTRUCTION LIEN L/aW IN�®�RIUI/�TI®N: 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 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 9r-re*Qrding vour NQkice of Commencement. Signature of Owner/A ent/Lessee Signature of Contractor License Hold r STATE OF FLORIDA5�—, L� cISTATE OF FLORIDA 5� L UnICOUNTY OFCOUNTY OF ( i The forgoing instrupRent was acknowledged beef=me The org Ing instru e t was ac<n wledged before me this 1lday of M 20 et'�by thi IVday of M j�20 Chap G> l -� l' n (Name of person acknowledging) (Name of person acknowledging) D�6XLU A4"�) (Signature of Notary70R c-State of FI I ) (Signature of Notary Publi State of a Personally Known Produced Identification Personally Known 711 Produced Identification Type of Identification Produced Type of Identification Produced I r,r FARO PUBLIC HEATHER VIZZO r pIJF Commission No. 710 e9�bTARY PUBLIC Commission No. 7` � ►' o( gTHER VIZZO a �_ -STATE OF FLORIDA ST o _STATE OF FLORIDA —Comm# 76266 �' Comm#FF176266 Revised 07/15/2014 sVEte�� Expires 11/13/2018 s�ycEtie�O Expires 11/13/2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE [INITIALS