HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a.\ ` 1� Permit Number:
RECE1 D J
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: To Select from dropbox, click arrow at the end of line rj h {
Address: 9950 S OCEAN DR 1902
Legal Description: MIRAMAR ROYALE UNIT 1902
Property Tax ID#: 4502-703-0083-000-6 Lot No.
Site Plan Name: Salvatore F D'Alessio Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install 2 Accordion Shutters
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Additional work to be nertormed under tis permit–check all t t appy:
HVAC E Gas Tank -Gas Piping In Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator E] Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
6845.00 I
Cost of Construction:$ Utilities: _Sewer[]Septic Building Height: 11a
Ok1NN ERjLESSEE� #` CONRq ORfSJ
a4'�`.a- "kms'
Name Salvatore F D'Alessio Name: Michael Heisenberg
Address:9950 S OCEAN DR 1902 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.646-772-8429 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:- 1(01512–
If
icense: 1(y51ZIf value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SURPIFENIENTAL CONSTRUCTION LIEN LAW INeFORMATION: m 2 _
. _ :.�
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tiltecojnc. Name:
Address: 6355 NW 36th St#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: _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,tp obtain financing, consult with lender or an attorney before
commencing work ci rftg your ice of Commencement.
,o I 2;2:1� 4e�z� s
_Signature of Owner/Lessee/Agent Signature of Contractor/ icense Hol er
STATE OF FLORIDA _ ��) COUNTY OFORIDA �� 1_ Ut( �f
COUNTY OF �" l..
The forgoing instrument was apcknowledg before me The forgoing instrument was acknowledge before me
thi day of ,'f«C +� 20��by thi��day of �11�� 20 I by
Michael Heissenbtrg Michel Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State ofto i ) (Signature of Notary Public-State o FI ' )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No -f ���� ot�(r l) HEATHER VIZZO '1���� ogpRYgs �H'EL�ATHER 1ARYPUBLIC VIZZO
Commission �' `i�
P, NOTARY PUBLIC o
a STATE OF FLORI A o c STATE OF FLORIDA
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^9k Comm#FF176266 s�NCE 19�% Expires 11/13/2018
Revised 07/15/2014 Expires 11/13!2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS