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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: r'��` �� Permit Number: �Q,cra=� Izz RECEIVED JUN 0 � �0�6 e�s�ia 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 PROFUSED fCVIPR©.1IEMENT LC7CATIC3N Address: 4200 N A1A 609 Legal Description: OCEAN HARBOR SOUTH BLDG B UNIT 609 AND UND INTEREST IN COMMON ELEMENTS Property Tax ID#. 1423-501-0137-000-9 Lot No. Site Plan Name: Larry Nones Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK f Install 1 Roll Up Shutter GONSTRUCTIQN iNFORIVIATION J, Additional work toe e orme un er t is permit—check a appy: HVAC E]Gas Tank Gas Piping Shutters Windows/Doors 11 Electric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 1033.00 Utilities:n Sewer[]Septic Building Height: 110' fJWNER/LEE CONTRACTOR _ . _._. a. _�E.. .. �. Name Larry Nones Name: Michael Heissenberg Address:4200 N AIA 609 Company: Expert Shutters City: Ft Pierce State:FL Address: 668 SW Whitmore Zip Code: 34949 Fax: City: Port St Lucie State:FL Phone No.786-423-5687 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. gS ` 5l1pPLEMENTAL CN5TFtUCTION LIEN LAW IN1=C3RMATION =' .. , r DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable Name: walteffillit 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: 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 commencin work-oT)reco_ ingyourpoticeof Commencement. 1/ 2z­-�; s _Signature of Ow r/Lessee/Agent Signature of Contractor/ icense Ho er STATE OF FLORIDA � ) / , /J STATE OF FLORIDA COUNTY OF YJ"_ L�� l .1 C� COUNTY OF The fogoing instru ent w^a�acknowledg before me The forgoing instru ent was acknowledged before me this 0 day of Vl (lam , 201 W by this) day of . t!�R 20 �G by Michael Heissen4g Michael Heissenberg (Name of person acknowledging) (Name of person acknowledging) 9V _ . (Signature of Notary70R lic-State of Flori (Signature of Notary P lic-State of Flo l Personally Known Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission r0 T I-�1_ 06 - d HFCommission,ATHER VIZZO a THER VIZZO 0 ' S }' ARY PUBLIC t�y�s o@ �� Q s�� NOTARY PUBLIC 0 _STATE OF FLORIDA o IDA 2Comm Revised 07/15/2014 s��'cEt910 Expires 11/13/2018 Wsi ���Comm#FF176266 NCE 19 Expires 11/13/2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS