HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO
--MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� Jr >o Permit Number: l bm �j�- (/':�r
RECEIVED
Building Permit Application AUG 15 2016
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
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P®SE® I'MPR`OUENI�EIVTL°ATI®tN4 Wilpy � � r
Address: 9950 S OCEAN DR 302
Legal Description: MIRAMAR ROYALE UNIT 302
Property Tax ID#: 4502-703-0008-000-7 Lot No.
Site Plan Name: Charles Nunes Block No.
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Project Name:
Setbacks Front Back: Right Side: Left Side:
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®'ETrAI�LED ®ESCR�I'PTI® W
N ®FORaK � � .�' � � � � E
Install 2 Accordion Shutters
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Additional work to be performed under tispermit—check a ttf appy:
❑HVAC Gas Tank Gas Pi Windows
❑ in L_I Piping Shutters ❑ Doors/
Electric 0 Plumbing ❑Sprinklers ❑�Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 6730.00 Utilities:Cn Sewer E]Septic Building Height: 160'
OUIIN'ER;LES5EE z :,� a �� C®NTRA�C= OR� _ ,
POW us -
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Name Charles Nunes Name: Michael Heisenberg
Address:9950 S OCEAN DR 302 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34957 I Fax: City: Port St Lucie State:FL
Phone No.772-631-4569 Zip Code: 34984 Fax: 772-871-0990
E-Mail: Phone No. 772-871-1915
ert AOL.com
Fill in fee simple Title Holder on next page if different E-Mail: Callex P @
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.
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S�tJPPLE'MIE°NTAL C® STR;U��"TION�LIE�NL/a� WR� 11/1IVO;�-. .. ,..�-z-��r...- ,� �,�.' �''�� `�:..,.2a�w ::, _ �,.
DESIGNER/ENGINEER:
Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tilteco,lnc. Name:
Address: 6355 NW 36th St#305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone; 305-871-1530 Zip: Phone:
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FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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I certify that no work qr 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,sIwimming 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 toobtain financing, consult with lender or an attorne before
commencing work or co di ur Noti of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Hole Vr
STATE OF FLORIDA l 7 STATE OF FLORIDA L�] UC I
COUNTY OF COUNTY OF
Thef��gg,o�,ii,,,ng instr ment was acknowledge)before me The forgoing instrument was cknowledg before me
this
ay of V'L20 �%by this may of by
Michael HeissenbiM Michel Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NotaryPublic-State of trYally
(Signature of Notary Public-State of Ne
)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification'Produced Type of Identific-tion Produced
Commission No. �` W� of ��sl,) HEATHER VI7Z Commission "'��
11 n (W&HER VIZZO
NOTARY PUBLIC NOTARY PUBLIC
TE OF FtORIDA
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psi Corrin#FF 176268 �, r Comm#FF176266
Revised 07/15/2014 Wet I Expires 11/13/2018 44rlalei Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS