HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 31�o Permit Number:
s K RECEIVED MAR 042016
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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
PRO' ED,`IROIIEMNT=LOCAT(C?N
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Address: 5167 N. Hwy AIA,#801 Fort Pierce, FL 34949
Legal Description: OCEAN HARBOUR TOWER CONDOMINIUM E UNIT 801
Property Tax ID#: 1411-709-0055-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
?ETAIL,EG,DE vIPTIa 3F�UtJORK j
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Installation of one (1) rolling shutter (crank operated).
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Additiona I work to be e orme un er t is permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping �_Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 1,430.00 UtilitiesInSewer OSeptic Building Height: 70'
OER/LESS E jy,. CONTRAC
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5.
Name William L Sasz Donna J Sasz Name: Michael Heisse
nberg
Address:2584 Willow Glen Dr Company: Expert Shutter Services, Inc.
City: Colorado Springs State:CO Address: 1626 S.W. Biltmore St.
Zip Code: 80920 Fax: City: Port St. Lucie State:FL
Phone No.719-661-6479 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.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: r�ce�,i��. 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 reco-rding vovNotice of Commencement.
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_Signature of Owner Lessee/Agent Signature of Contractor icense Holder
STATE OF FLORIDAL % �c�j� STATE OF FLORIDA �� L
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COUNTY OF `.�T (1 COUNTY OF
The forgoing instrument was acklnIo�wledged before me The forgoing instrument was/acknowledged before me
this 5 day of M a r(�R , 201(D by this day of �� C 20 1 (,D by
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(Name of person acknowledging) (Name of person acknowledging)
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(Signature of NotaryPu ic-State of Fl )- ) (Signature of Notary P blic-State of Flori a
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification
('Produced
� Type of Identification Produced
Commission No.V-Y [�ly�"C� (Se&I)ATHER VIZZO Commission No t I� d }'� H Nb�PPT j�R VIZZO MY PUBLIC
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Comm#FF976266
Revised 07/15/2014 psi 1 �sid'Ce}9}� Expires 11/13/2018
El Expires Expires 11/1312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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