HomeMy WebLinkAboutBuilding Permit Application Y
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/21/15 Permit Number:
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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: 9960 S. Ocean Dr.#203 Jensen Beach, FI.34957
Legal Description: THE MIRAMAR II UNIT 203 (OR 988-2617: 1140-330)
Property Tax ID#: 4502-702-0003-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Sutton
Setbacks Front Back: Right Side: Left Side:
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Installation of one (1) accordion shutter.
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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 ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 9,357.00 Utilities:0Sewer Septic Building Height: 160'
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Name Robert E Sutton(TR) Name: Michael Heissenberg
Address:9960 S Ocean Dr Apt 203 Company: Expert Shutter Services, Inc.
City: Jensen Beach State:FL Address: 1626 SW Biltmore St.
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.613 832-3603 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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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 b fire
commencing work or_=ording your N ce of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE F FLF FL
COUNTOY OFORIDA 7)7k
, ) U C J STATED COUNTOY OFORIDA � Lucl'�
The forgoing instruAent was a knowledged,,�befo a me The forVing instry+��nt was acknowledged before me
this day of m f 20 A by thisa 1=day of IJP!/-XV�1 / ,20 -
-�i C l��-� � �-� 15.����I��� �Y1 � C��Ol-� 1 � ► S S���l
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary -State of FI i a (Signature of Notary Publi State to a)
Personally Known OR Produced Identification Personally Known 711 Produced Identification
Type of Identification Produced ' Type of IdentificationProduced
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Commission No. CA (Sgp,THER VIZZO Commission No. `i" J p��G`� H S I R VIZZO
o� NOTARY PUBLIC A�T� O NOTARY PUBLIC
Revised 07/15/2014 s ��Com
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Comm#FF176266
"'CE 191 Expires 11113/2018 Expires 1111312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS