HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/18/15 Permit Number:
MY-
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
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Address: 8800 S.Ocean Dr.#808 Jensen Beach, FL 34957
Legal Description: ISLAND DUNES OCEANSIDE CONDOMINIUM 11 UNIT 808
Property Tax ID#: 3535-603-0072-000-8 I uii Lot No.
Site Plan Name: l Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Installation of three (3) accordion shutters.
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"Additional work to De nerrormed under this permit—cheCK all that apply:
0HVAC Gas Tank F]Gas Piping Shutters Windows/Doors
FlElectric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft of First Floor:
1 170'
Se Building
Cost of Construction:$ 4,036.00 Utilitiesln werl —se;,ptic n Height:
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Name Dolores F Klein JR) Name: Michael HeisOnberg
Address:8800 S Ocean Dr#808 Company: Expert Shutter Services;, Inc.
St.
,City. Jensen Beac State:FL Address: 1626 S.W. Biltmore
Zip Code: 34957 Fax: City: Port St. Lucie State:FL
Phone No,772-229-8493 Zip Code: 34984 Fax: 772-871-0990
E-Mail: Phone No. 772-877-1915 '',
Fill in fee simple Title Holder on next page(if differentE-Mail: callexpert aol.com:'il.
from the Owner listed above) State or County License. 16,572
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not ApplicableMORTGAGE COMPANY:' _Not Applicable
Name: riteco,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: IIII
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: � _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
i,
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, iniall 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'l;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 in end to obtain financing, consult with lender or an attorney before
commencingwor cordin ur Notice of Commencement.
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_Signaturegoner Lessee/Agent Signature of Contractor/L' ense Holde
6
STATE OF FLORIDA1 a STATE OF FLORIDA
COUNTY OF ��CI- COUNTY OF LuG
The forging instr ent wa a knowledged before me The foroing instru}��ent�s all knowledg before me
this day of o` �i 20I b by this day of { ►'IC 1 C� 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary P lic-State of Flori a) (Signature of Notary!IOR
-State of Flor'
Personally Known OR Produced Identification Personally Known Produced Identification
Type of Identification Produced Type of Identification'-Produced
� HEATHER VIZZ '
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ti1RAy,
Commission o� N(®TWY PUBLIC Commission � � �1U �tpRY¢ Sg�yTHER VIZZO
STATE OF FLORIDA I fi oe �� NO ARY PUBLIC
F176266 0 ESTATE OF FLORIDA
40*1WP� Expires 11/13/2018 �s ��Com FF176266
Revised 07/15/2014 ¢1sh Expires 11/13/2018
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION "'° SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE !I
COMPLETE
INITIALS
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