HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 15n
, 'fL•)V' Permit Number:
RECEIVED
Building Permit Application FEB 10 2010
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: 5055 N. Hwy A1A,#303C Fort Pierce, FL 34949
Legal Description: BRYN MAWR OCEAN TOWERS BUILDING C UNIT 303
Property Tax ID#: 1414-601-0117-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Installation of four (4) accordion shutter.
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4,.rl,e ✓Ya/',,, ✓.Te'��9'„,e.,.-,s, rr /ud�f, ,.a e �O.L��/✓,., x�Ux v:� ;ems .a,.. '. ... '=`' t. �..
Addition wor to a er orme under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing OSprinklers E Generator ❑ Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4,406.00 Utilities,
Septic Building Height: 70'
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41IlNER' LESSEEy x 77 b CONTRA R gg ”
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Name Lisa A Booty Name: Michael Heissenberg
Address:5055 N Ala Apt 303 Company: Expert Shutter Services, Inc.
City: Fort Pierce State:FL Address: 1626 S.W. Biltmore St.
Zip Code: 34949 Fax: City: Port St. Lucie State: FL
Phone No.561-908-4645 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.
SUPPLEMENTAL CONSTRIJCTIO.N LIEN LAIIU IiN�FORMATI®N: Mon
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Tilteco,Inc. 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 intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notic ,of Commencement.
s
_Signature of Owner/Less a/Agent Signa re of Cont c r/License Hol>er-,
STATE OF FLORIDA A�,t STATE COUNTOY OF FLORIDA ] Lu i
COUNTY OF
The Toing ins nt was ac! owledged before me The f rgoing instrument was acknowledged before me
this il--'day of t'l�tQ 20 )bby this t�j-=i--day of -Q b L f C�- ,20 by
(Name of person acknowledging) (Name of person acknowledging)
V
(Signature of Notary P blic-State of Flori (Signature of Notary P blit-State of ri )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission N0i- � ��� t ,q HEATHER VIZZO
(Seal) Commission NO(�t�)pUBLIC HEATHER VIZI
� NOTARY PUBLIC � �STATE OF FLORIDA
tPY
6
o`e1 STATE OF FLUKDA
Revised 07/15/2014 Comm#FF176266 s °i Expires 11/1312018
'PI E Is1� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS