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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE{INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: RECEIV'D NOV 04-2916 s . 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 PERMITAPPLICATION FOR: Shutter ., caj\c\iz3 PRUOUR ED IMPRMi/EMENT LMCATIMN: Address: 10680 S Ocean Dr.Apt. 708 Legal Description: ISLAND CREST CONDOMINIUM UNIT 708 AND UNDIV SHARE IN COMMON ELEMENTS Property Tax ID#: 4511-516-0075-000-1 Lot No. Site Plan Name: George A Wands Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED ©fRS@RIPTIMN MF WORK: Install 2 Accordion Shutters CMNSTRUCTION INFORMATi e Additional work to (eperformedunder this permit—c ec a appy: HVAC L__I Gas Tank Gas Piping Shutters a Windows/Doors 11 Electric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ 1228.00 Utilities:Sewer OSeptic Building Height: 110' OUV'NER/LE=S`�SEE: CONTRACTMR: Name George Wands Name: Michael Heisenberg Address:10680 S Ocean Dr.Apt. 708 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.772-229-5869 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: 16572 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENl"AL CONSTRU I©N LIEN VV INFORMATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Tlteco,Inc. 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 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 attorney before commencing work ol-re_cording your N Lice of Commencement. s _ Signature of Contractor icens Holder Signature of Owner Lessee/AgentSTATE OF FL COUNTY OF ORIDA : / lam(.C'.1' COUNTY OF STATE OF FLORIDA ) 1 UC`,� The for oing instrument was acknowledged before me The��forryoing instrument was acknowledged.before me thisday of rb UiM�° 20 f�by this. — day of �bVPrn CJel,20 by Michael Heissenbirg Michel Heissenberg (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-Sta lorida) (Signature of Notary Public-State of I I a) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification IdentificationPrroduced Commission NY�) ©1Aa 'elEATHER VIZZO T Commission No � - Se WiATHER VIZZO OTARY PUBLIC G r4' NOT PPY PUBLI!��.,= )-STATE OF FLORID '--" " �=g;e Cor n m##FF976266 Revised 07/15/2014 P'�``3'1 Expires 11/13/2018 , Comm#Fr576�66 CEM' Expires 11/13/2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS