HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/5/16 Permit Number: 16b
RECEIVED MAY 17 7016
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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
PIZ®P®S"E® IMPROVEMENT LOCATION
Address: 10000 S Ocean Dr 505
Legal Description: THE MIRAMAR UNIT 505 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID#: 4502-701-0026-000-3 Lot No.
Site Plan Name: James M Piscitelli Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
®El'AIILE® ®E�SCR4IPTION OF' UVORK��£ � r� -91 MIMI
Install 3 Accordion Shutters
V4000NS�TRIJ�C�IONIN,F®R�MATION � ,
Acid itional work toe e orme under this permit—check a appy:
HVAC Ei Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 4578.00 Utilities:Sewer Septic Building Height:
OU1/iNERLESSEE R` r� C®NTR io►CT®R
s� t
Name James M Piscitelli Name: Michael Heissenberg
Address:10000 S Ocean Dr 505 Company: Expert Shutter
City: Jensen Beach State:FL Address: 1626 SW Biltmore St
Zip Code: 34957 Fax: City: Port St Lucie State.FL
Phone No.440-263-2500 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:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLENiENTAL"C�NSTRUCTI N LIEN Lk IN'FORMATICyN A
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: WaiterTiiiitir. Name:
Address:6355 NW 36th St Ste 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 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 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 attorne before
commencing workjpx_[ecord_ing your N Cce of Commencement.
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_Signature of Owner/Lessee/Agent Sig ature of Contractor/License Hold r
STATE OF FLORIDA5-�Y ��C iSTATE OF FLCOUNTY OF ORIDA 54- Lu
COUNTY OF
The forgoing instrument w s acknowledged before me The forgoing instrument was acknowledged before me
this�day of a 20) this I O qday of 20 (D by
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(Name of person acknowledging) (Name of person acknowledgingaL,6w )
V a4�� 90,'�
(Signature of Notary P lic-State of FI i ) wn 7(Signature of Notary Pub' -State of FI ri
Personally Known 7 OR Produced Identification Personally KnoOR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission N&7 6JU(Dogpg I)HEATHER VIZZO Commission N 1 �o� r 0.s HEATHER VIZZO
o'-,,STATE
{VOTARY PUBLIC
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Gem F12117-6266
Comm 475RE 1901 Expires 11/13/2018
Revised 07/15/2014 S"td E 15�� Expires 1111312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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