HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ( c7
Date: ` Permit Number:
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H.C 51"I MAR 0 4 2016
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 Residential X
PERMIT APPLICATION FOR: Shutter
PPOSED IMRRCIIEMENTOC� (f5}N
Address: 5794 Moss Court Fort Pierce, FL 34982
Legal Description: THE GROVE CONDOMINIUM-SECTION ONE- UNIT 7E
Property Tax ID#: 3410-507-0027-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Installation of two (2) accordion shutters.
itiona worKtobenerrormed under this permit—check a appy:
HVAC Gas Tank []Gas Piping 2 Shutters aWindows/Doors
11 Electric ❑Plumbing Sprinklers OGenerator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,082.00 Utilities:0 Sewer El Septic Building Height: 15'
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Name Maria A Garcia, Luis F Garcia Name: Michael Heissenberg
Address:5794 Moss Court Company: Expert Shutter Services, Inc.
City: Fort Pierce State:FL Address: 1626 S.W. Biltmore St.
Zip Code: 34982 Fax: City: Port St. Lucie State.FL
Phone No.772-882-4271 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.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tiiteoo,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 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 to obtain financing, consult with lender or an attorney before
commencing worjLQr recording o Notice of Commencement.
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_Signature of OgneLessee/AjEgt Signature of Contractor/License Holde
STATE OF FLORIDASTATE OF FLORIDA C LU C r,�
COUNTY OF � . Lucie COUNTY OF—
The
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The orgoing instry ent wa cknowledge before me The f�going instrumen wasfaf knowledge before me
this day of 20i�
_ by
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(Name of person acknowledging U (Name of person ack owledging)
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(Signature of Notary Pub c-State of o i (Signature of Notary Pu ic-State of or d
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
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Commission NXT�� � o mat HEATHER VI71 Commission No � 7�oilD�/�oZaRr (SPTHER VIzzO
of NOTARY PUBLIC y^r Cdr NOTARY PUBLIC
STATE OF FLORI A ° t STATE OF FLORIDA
W Comm#FF176266 °' f a Comm#FF176266
Revised 07/15/2014 s�'vCEA Expires 11/13/2018 s� E19�$ Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS