HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )1
Date: 11/18/15 Permit Number:
T
Building Permit Application RECEIVED
Planning and Development Services q o 2016
Building and Code Regulation Division FEBD 1
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PEP05E® 1'NtRC?UEMEN Lf3CAIC�"x � � Y
Address: 10680 S Ocean DR Apt 407,Jensen Beach, FL 34957
Legal Description: ISLAND CREST CONDOMINIUM UNIT 407 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-516-0044-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Installation of two (2) accordion shutter.
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A itiona wor to e e orme un er t is permit—c
eck all appy:
HVAC Gas Tank ❑Gas Piping
fvl( Shutters L]Windows/Doors
Electric um Ing Sprinklers 1:1 Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1218.00 Utilities:n Sewer 0Septic Building Height:
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,
Name Edward M Cupoli(TR)Amelia Cupoli(TR) Name: Michael Heissenberg
Address:313 Barkentine Ln Company: Expert Shutter Services, Inc.
City: Mantoloking State:NJ Address: 1626 S.W. Biltmore St.
Zip Code: 08738 Fax: City: Port St. Lucie State:FL
Phone No.772-229-0541 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.
SP{t, It E *TA's- `QN 01'10 L�1E�
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DESIGN ER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: rite,Inc. Name:
Add ress: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 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 obtain financing, consult with lender or an attorney before
commencing work or.. rdi our ice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Hold r
STATE OF FLORIDASTATE OF L�/t-(',I � COUNTY OF
COUNTY OF .�T L
The fo5rgoing instru a�t was acknowledged before me The forgoing instrument was acknowledged before me
this day of _ q l 20 �by this — day of ( 20 by
M *';'Ch0 Q I M ;ClW I "P i. -W
(Name of person acknowledging) (Name of person acknowledging)
VA, 17�u
W
(Signature of Notary Pu�lic-State of FICU (Signature of Notary Pu lic-State of i Ll)
Personally Known V OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
(" -7 r1111 HEATHER VIZZO
Commission No. t !�0� I OTARYPUBLIC Commission No-f 7�0❑STATE OF FLORID �I �tY PUBLIC
0cSTATE OF FLORIDA
Comm#FF176266 0 0
ME i9n Expires 11/13/2018 sWcE 19�s' Expires 11/13/2018
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS