HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 �o Permit Number:
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RECEI rD MM 172036
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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
P,RQPDSED !(1lIfPROVEMENT LOCATI(3N ,
Address: 9400 S OCEAN DR 107
Legal Description: OCEAN TOWERS CONDOMINIUM B-UNIT107 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 3535-702-0006-000-9 Lot No.
Site Plan Name: Joseph J Galbo Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
D. =TAILED DESCRIPTION C1F WpRK ., s._ x
Install 1 Accordion shutter
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RNSTRUCTION�INFORI1lIATl01ti(
Additional work toe e orme un er t is permit—c ec a appy:
HVAC Ei Gas TankGas Piping � Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
pa �
Cost of Construction:$ 1853.00 Utilities:0_Sewer 0 Septic Building Height: l
CJ1/NER/LES5EE y x CONTRACTOR
N
x
Name Joseph J Galbo Name: Michael Heissenberg
Address:9400 S OCEAN DR 107 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.772-233-7583 Zip Code: 34984 Fax:
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.
Sl1PPI.EMENTAL C(7,NSTR(JCTfC3N LIEN LAW INFQRMATION
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: waiterTiiiit Name:
Address:6355 NW 36th Sr 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 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 intendt btain financing, consult with lender or an attorneybefore
commencingwork or r our No ' of Commencement.
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_Signature of Owner/Lessee/Agent Si ature of Con factor/ ' nse Hol r
STATE OF FLORIDA L���� STATE OF FLORIDA � 1` ��
COUNTY OF COUNTY OF rj'�'I l
The forfTing instru ent w s cknowledge before me The forgoiing instrument was acknowledged before me
this 11-clay of 20 1 Uy this I play of 20 LL by
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(Name of person acknowledging J (Name of person acknowledgingQ )
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(Signature of Notary70R
lic-State of to i a (Signature of Notary Pu lic-State of Florida
Personally Known Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
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ryHEATHER VIZZO � 1 atpRvgy,� ThF1ER VI710
Commission No. 1 aHJ, Commission N I��r� �� s J�(
P9OTARY PUBLIC o o RY PUBLIC
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STATE OF FLORID o ^STATE OF FLORIDA
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Revised 07/15/2014 `0/QCE t9At Expires 11/13/2018 CE 19�® Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS