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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y� Date: 1 ti 1 1 Permit Number: � i`r 71 i �1107:, RECEIVED NOV 14 2016 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 PROPOSE© IMPRO�/EMENT LOCaTI®N: Address: 10980 S OCEAN DR 512 Legal Description: OCEAN DUNES CONDOMINIUM UNIT 512 Property Tax ID#: 4512-702-0017-000-1 Lot No. Site Plan Name: Brett Long Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DExSCRIPTION OF WOf2aK: Install 1 Accordion Shutter CONSTRl1CTION INFORMATION: onal work to be performed unclertnis permit check all appy: 11HVAC Gas Tank Gas Piping Shutters ❑Windows/Doors 11 Electric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 1629.00 Utilities:Sewer Eheptic Building Height: 70' OWNER/LE-�S�SEE: CONTRACTtR: Name Brett Long Name: Michael Heisenberg Address:10980 S OCEAN DR 512 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.269-209-3370 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. SUPPLEMENTAL CONSTRUCTION LIEN LAUV INFORMATION: DESIGNER/ENGINEER: x—Not Applicable MORTGAGE COMPANY: X Not Applicable Name: l ilteco,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: 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 Counter 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 er o n attorney bef re commencingwork of ordin r Notice of Commencement. ell- s _Signature of Owner/lesseem,gef Y Signature of Contractor (cense Holder STATE OF FLORIDA 54, ) STATE OF FLORIDACOUNTY OF1� �,T COUNTY OF L� The for ing instrument was acknowledgbefore me The forgoing instrument was acknowledged before me this of J\A V4 Q��P�20YO-by this//�� day of IV f�^ _10C 1 ,20 by Michael Heissen4g Michel Heissenberg (Name of person acknowledging) / (Name of person acknowledging) L032� `V 9� - no (Signature of Notary Public-State of F a) (Signature of Notary Public-State 4V&fida) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced r`—(� 1 �'o'��� HEATHER VIZZo Commission No:T-1` l 1�j l� gpgy(�Sral)HEATHER VI720 Commission No. JW�. )( (�� AfOTAR'�PUBLIC to so NOTARY PUBLIC ��STATE OF FLO A. RID o� 3 b C ATE OF FLORID .dT , r Comm#FF176266 `"���'i� Expires 11/13/201 Revised 07/15/2014 EA Expires 11/13/2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS SPECIFICA71pNS ON ANCHo RE IR!MENT6:POURED CdNCftETE OR CONCRETE BLOCK ul)BSIfLATES (SEB NW140M a 0.It H ON SCOD71S t k 7) )._fm TO SUMMTE SHELL ee AG MI.04M POUM ■1m POIIIm OOIICQIE (A) 10 EXMING PWRW C;LNCREIE:(111-.1"-3 aui) QWN,L SILL MOUNTING @ CMLJNG MOUNTING Fi E1.CCR MOUNTING - 1/4-0 TAPCON OR TKIVON amt AUV4 °THR�oRM PEQ*OLGO+' 't{ENaiS rs +u/'oTUREn srr LT.w.NAPA.(-.Fo .s WI(M) �F1e -t/4'1*3/4•ALL POINTS SOLID-SET AMIC S.A4-ItitDJJIED D'(ALL POINTS WEEW.MT h SPEe1AL1Y L'OM➢JJdt'.(N2t.f'e=a keQ (10 0.__.._.._......_..t�R _ ._..._ I -.. _._. 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