HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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�`Leo Permit Number: •��O 3-40�j$
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Buildin iMion
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
PERMITAPPLICATION FOR: Shutter -
PROPQSED�IIVI•PRU 'tEMENTE��CATION £�� P�� €E �u" E �,E
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Address: 900 S. Ocean Blvd,#502 Jensen Beach, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II- UNIT 502 AND UND SHARE IN COMMON ELEMENTS
Property Tax ID#: 4502-503-0046-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
D,> 7IL�ED C3RIPT�tNOFVUfJRIC �
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Installation of three (3) accordion shutters.
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10 IN
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Additional work to ne Dertormed under tispermit—c ec a appy:
HVAC Gas Tank DGas Piping �_Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 3,492.00 UtilitiesInSewer Septic Building Height: 170'
ONa _. k.ER �ESSCREE
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Name Tokuo Yamamoto Joanna E Yamamoto Name: Michael Heissenberg
Address:12200 SW 89th Ave Company: Expert Shutter Services, Inc.
City: Miami State:FL Address: 1626 S.W. Biltmore St.
Zip Code: 33176 Fax: City: Port St. Lucie State:FL
Phone No.786-877-2949 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.
1N INEQRM��T
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tiiteco,Inc. Name:
Address:6355 N.W.36th St.Suite 305 Address:
City: Miami State: Ft_ 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 covenahts 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 inte d to obtain financing, consult with lender or an attorney before
commencing work or reciaing your/Notice of Commencement.
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_Signature of Owner/ ssee/Agent Signature of(fonCradtd-r/Licefise Holderi
STATE OF FLORIDA- t STATE OF FLORIDA � LU�1
COUNTY OF ��f_ L u C I � COUNTY OF
The for�oing instr men was acknowledged before me The forging instrument was acknowledged before me
this3{: day of n � h 20,1 b by thisday of�U r0 I 20 by
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(Name of person acknowledging) J (Name of person acknowledgingCV
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(Signature of Notary Pu fic-State of FI id )' (Signature of Notary Pu tic-State of or'
Personally Known OR Produced Identification Personally Known N7 OR Produced Identification
Type of Identification Produced Type of Identification Produced
—rroduced
Commission No i" `� (Sea Commission Not ; � tPRYRs (� ��HER VI2ZO
�e1A-1'ASSO NO ARYY PUBEATHER LIC
CO oQ sO�NOT PUBLIC
r ° a -STATE OF FLORIDA
s Comm#FF17
Revised 07/15/2014 Ws Comm#FF176266 s�'t`CE 19�� Expires 11/13/2018
7�CE19� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS