HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Dat . =' %VA'\fro Permit Number:
RECEIVE-1 MAR 04.2016
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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 Residential X
PERMIT APPLICATION FOR: Shutter
F3POSE��1 DRQCIf` C�CATIiV f
Address: 6711 Dulce Real Ave Fort Pierce, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS LEASEHOLD ESTATE(OR 2380-1934)
THAT PART OF SEC AS SHOWN IN OR 2380-1934 BEING LOT 6711 DULCE REAL (BLK 73 LOT 52) (0.12 AC)(OR 3128-2941)
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
MINA
Er
I Ow im
Installation of five (5) accordion shutters.
itiona wor to e e orme un ert is permit—c ec a appy:
HVAC �Gas Tank Gas Piping � Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 2,436.00 UtilitieslnSewer Septic Building Height: 15'
a � Rf(WI` sy� � C}NTAC '# R 0 �h
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Name Robert T O'Kane Sabina I O'Kane Name: Michael Heissenberg
Address:2605 Meadow Ln Company: Expert Shutter Services, Inc.
City: Easton State:PA Address: 1626 S.W. Biltmore St.
Zip Code: 18040 Fax: City: Port St. Lucie State:FL
Phone No.484-542-1626 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: rile�o,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 gr_reco[ding your Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/ ice se Hold
STATE OF FLORIDAy STATE OF FLORIDA
COUNTY OF J+� Luc{ � COUNTY OF L IA C I
The forg ing instrument was cknowledged before me The 2foxing instrument was acknowledged before me
this pday of l� �c.�, 20 I(o by this?J =day of �1�I1 �{ 20 1(o by
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(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary P lic-State of o id ) (Signature of Notary Public-State otor' )
Personally Known OR Produced Identification Personally Known 1 OR Produced Identification
Type of Identification Prl�Wd
oduced Type of Identification Produced
Commission Noff l 3('0 /J (AmHER VIZZO Commission N> a (0( (Seal)
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qt o� NOTARY PUBLIC /P W-p4S,S HEATHER VIZZO
STATE 0E 171 QRIDA J
o NOTARY PUBLIC
g `" CoFF176266 =STATE OF FLORIDA
Revised 07/15/2014 ?/*CEA Expires 11/13/2018 ys ��Comm#FF176266
��CE 19� Ex fres 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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