HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/18/15 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
P�`DFOSED IIV 'ROEMNC11C?N .x3 ,u
Address: 10,000 S.Ocean Dr.,#203 Jensen Beach, FL 34957
Legal Description: THE MIRAMAR UNIT 203 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID#: 4502-701-0006-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Installation of one (1) accordion shutter.
NSTRUCTIC) (NFORMATION Ott
Additional work toa nertormed un er t is permit—check all appy:
HVAC Gas Tank []Gas Piping Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: $ 3,372.00 Utilities:n Sewer D Septic Building Height: 170'
a ER/tSsI C70 RACt R£
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Name James Eldridge Name: Michael Heissenberg
Address: 10,000 S.Ocean Dr.,#203 Company: Expert Shutter Services, Inc.
City: Jensen Beach State:FL Address: 1626 S.W. Biltmore St.
Zip Code: 34957 Fax: City: Port St. Lucie State:FL
Phone No.772-229-2294 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.
DESIGNERENGINEER: NotA licable
pp MORTGAGE COMPANY: _Not Applicable W
Name: riiteco,ioc. Name:
Address:6355 N.W.36th St.Suite 305 Address:
City: Miami State: FL City: State:
Zip: 33166 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 inteng to obtain financing, consult with lender or an attorney before
commencing work or re our Drotice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Cont for/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ) ] �(�,f $ COUNTY OF
The rgoing instr ept was ackn wledged before me The fling instr ent was acknowledgedbeforeme
this ftday of l 20 j a by this� =day of 20 I b by
(Name of person acknowledging) (Name of person acknowledging)C�kn�OL 1
(Signature of Notary Public-State of Flo d ) (Signature of Notary Pu lic-State F r' )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
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Commission No. - �� 6FaI�'THER VIZZO
(S� Commission No. tpg AWeMPER VIZZO
MNNOTARY PUBLIC NOTARY PUBLIC
S STATE OF FLORIDA CX --STATE OF FLORIDA
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Revised 07/15/2014 s� et9�� Expires 11/13/2018 willair Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS