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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/18/15 Permit Number: 1(0 I_711 . a 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 C}P©SED 1 }�fII��1T[.aCATI�; y � F 70 Address: 10,000 S.Ocean Dr., #1004 Jensen Beach, FL 34957 Legal Description: THE MIRAMAR UNIT 1004 AND PRO-RATASHARE IN COMMON ELEMENTS Property Tax ID#: 4502-701-0055-000-5 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: l � AILED �i IC} aRK _ .. . a,...... P� W .,..a W .', .. �:�.... .. � ..:.,.,... . .. _ n „•�.•e nom., �..�, : ,��.. ��• �,r Installation of one (1) accordion shutter. CCI, L)CTION INFORItAT,IO.N114 x-�C a .. - �. .'. - _a` a<� - ,,.> .,. Additionalworkto � rtormed under trus permit—c ec a apply: HVAC Gas Tank Gas Piping �_Shutters Windows Doors ❑ a Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction: $ 3,372.00 Utilities:n Sewer 0Septic Building Height: 170' VC}U1tNERfLEE: C3NTRACTOR Name Helen B Rogers Living Trust Name: Michael Heissenberg Address: 11100 Wayzata Blvd Suite#560 Company: Expert Shutter Services, Inc. City: Minnetonka State:MN Address: 1626 S.W. Biltmore St. Zip Code: 55305 Fax: City: Port St. Lucie State:FL Phone No.952-542-8900 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. --u:p���nn��N� co���r�l�u� al�►�� v�t�A�nriN�a�nn�T�®l� � .� DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: riiteCO,i��• Name: Add cess:6355 N.w.3scn s�.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 wprk-0.Lx*Gprding4our Notice of Commencement. — s _Signature of Owner/Lessee/Age, Signature of Contractor/License Hol '5-k COUNTY OF FLORIDA )� L / 1�� COUNTY OF STATE OF FLORIDA r STATE OF The f rgo ing instru��l1e t was acknowledged before me The fo fgcoing instr hent was acknowledged before me this day of -I-e AA (,�(' 20 &by this�---day of-1-_Q � �r ! 20 �by r6p lkv (Name of person acknowledging) (Name of person acknowledging) �— cwr�) abll� (Signature of NotaryPubjfc-State ofto-11V o (Signature of Notary� OR bl' -Stat o F ida) Personally Known �f/ OR Produced Identification Personally Known Produced Identification Type of Identification Produced Type of Identification Produced ��17���6tPR A HEATHER VIZZO �171o���t q HEATHER VIZZO Commission No. NOTA 1 O BLIC Commission o. � )J NOTA499RA11PLIC W'P'* Expires STATE OF FLORIDA a STATE OF FLORIDA B Revised 07/15/2014cete� 11/13/2018 �'r E Expires 11/13/3018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE =INITIALS