HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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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 — bride
PR�POSEDItt�iiROVEMIWNT LQ.CATI„CiN f :--
Address: 4160 N Highway Ala Apt 1101A
I Legal Description: OCEANIQUE OCEANFRONT(OR 2752-1842) BLDG A UNIT 1101
Property Tax ID#: 1423-506-0064-000-1 Lot No.
Site Plan Name: Jeffrey J Hochman Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install 2 Roll Up Shutters
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Additionalwork to be nertormed under this permit—check all pia4,apply:
EIHVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3432.00 Utilities..Sewer 0Septic Building Height: 140
U3dN R/L 'EE CONTRACT(JR `
_
Name Jeffrey J Hochman Name: Michael Heissenberg
Address:4160 N Highway Ala Apt 1101A Company: Expert Shutters
City: Fort Pierce State:FL Address: 1626 SW Biltmore St
Zip Code: 34949 Fax: City: Port St Lucie State:FL
Phone No.772-448-4606 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail:
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.
St1PPlEM CONST tUCTION L`I IAW INFC WIATION; 3 `c
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X_• Not Applicable
Name: waiterTiiiit Name:
Add re ss:6355 NW 36th St Address:
City: Virginia Gardens State: Fl_ City: State:
Zip: 33168 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: X 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 work or recur our N 'ce of Commencement.
_ L 5
_Signature of Owner/Lessee/Agent Signature of Contractor/License Ho e
STATE OF FLORIDA J1 ) ''� STATE OF FLORIDA �Y / u /'/Y,
COUNTY OF l 1., COUNTY OF l� l-
The fo5 oin instr e t as acknowled a before me Thl�forr-oing instr men vis acknowledg d before me
this day of �1 ) 20 before
this�_�'day of � 20 !i(,o by
ftckav
(Name of person acknowledging) (Name erson cknowl dging)
Cv0pn-A),� 1 �
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(Signature of Notary Pu ic-State of Flori 0
(Signature of NotaVPu ic-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
f", ��� ,,6�� HEATHER VIZZO 6 -7 � THER VIZZO
Commission No. -F @ Y )NOTARY PUBLIC Commission I �gp�vAss-SCY PUBLIC
STATE OF FLORI A _—STATE OF FLORIDA
—
Revised 07/15/2014 �`r�fieEie1' Expires 11/13/2018 °sEl Expires 11113/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS