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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Dated 1 I1 , 1� Permit Number: RECEIV '0 APR p 71036 Fq 7 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 - o� b ` tai k Pf30i?OSED t 1?R01/ MENT L©CATIC�I Address: 9960 S OCEAN DR 1903 Legal Description: THE MIRAMAR II UNIT 1903 Property Tax ID#: 4502-702-0083-000-3 Lot No. Site Plan Name: Deani H Campo Block No. Project Name: Setbacks Front Back: Right Side: Left Side: QiTAILD<( 1~aGRfPTIt�N O Wo "K r s � Install 1 Accordion Shutters CClStRI��TI } 4 )I�FORi1liATICiN E 4�r� ,�... Additional work to be Dertormed under this permit—check a pp y: HVAC Gas Tank []Gas Piping _Shutters Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction: $ 8850.00 Utilities:cn Sewer Septic Building Height: 200 s u ; 3 a �'�� - 4 a 7-�Sh" �� �s - '� e ��'' 'x�Y � s a• Y:. OiNEf L `ii�. r 3 CONT ACTC3R a Name Deani H Campo/Frank Campo Name: Michael Heissenberg Address:907 Main St Company: Expert Shutters City: Port Jefferson State:NY Address: 1626 SW Biltmore St Zip Code: 11777 Fax: City: Port St Lucie State:FL Phone No.772-229-3667 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. Sl �lENTAL�kU1STRUCTION LIEN lAWNF � QRMATIO DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Waiter-riiiit Name: Address:6355 NW 36th St Address: City: Virginia Gardens State: FL City: State: Zip: 33168 Phone: 305-871-1530 Zip: Phone: FEE SIMPLE TITLE HOLDER: X 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 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 or recording aur otice of Commencement. s _Signature of Owner/Lessee/Agent Signature of Contractor/License H Ide STATE OF FLORIDA L ! �I'� STATE OF FLORIDA COUNTY OF l� COUNTY OF l� Th forgoing instru a ryas acknowledged before me Th for oing instru e t was acknowledged before me thi day of ` it 20 �by this day of e!I 20 by (Name of person acknowledging) (Name of personDVD 2k� ackn wledging) l (Signature of Notary Pu lic-State of Florida (Signature of Notary 70R -State of Flori Personally Known OR Produced Identification Personally Known Produced Identification Type of Identification Produced Type of Identification Produced r l + HEATHER VIZZO / I - Commission No�9 (!J Q vgsso�( CRY PUBLIC Commission N b 1 lP qss HE � VINO NOTARY PUBLIC o —STATE OF FLORIDA STATE OF FLORIDA `si {,.ecxnm#FFI76 66 =e Comm#FF176266 Revised 07/15/2014 'FOE 191 Expires 11/13/2018 s�HtE19�� Expires 11/13/2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS