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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: J2 Permit Number: �J • DEC 0 9 2016 Building Permit Application PERMITTING Planning and Development Services St. Lucie County, FL 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 PROPOSED 11UIPROVEM,ENT LOCATION:, Address: 10867 S OCEAN DR Legal Description: WINDMILL VILLAGE BY-TH E-S EA-RE PLAT PARCEL NO 2 Property Tax ID#: 425-586- 10 - © Lot No. Site Plan Name: 10867 S OCEAN DR p T X LLC Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAIL"ED DESCRIPTION OF WORK Install 7 Storm Panel Shutters F 1C6NSTRILI,CTI N INFORMATION � °� diteweiona wor to Orme under this permit—check a apply: dHVAC IE]Gas Tank F_]Gas Piping p g Shut e rs ❑Windows/Doors ❑Electric ❑ Plumbing Sprinklers Generator ❑ Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 6259.00 Utilities:ln Sewer[]Septic Building Height: OWNER/LESS`EE _. CONTRACTOR .. Name EFTX LLC Name: Michael Heissenberg Address:4545 NE Ocean Blvd Company: Expert Shutters City: Jensen Beach State:FL Address: 668 SW Whitmore Zip Code: 34957 Fax: City: Port St Lucie State:FL Phone No.772-678-9674 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. SU 'PLEMENTAL CONSTRUCTIQN`LIEN LAIN INFORMATION: DESIGN ER/ENGYINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name: WalterTillit 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 yo �rel ty. A Notice of Commencement must be recorded and posted on the jobsite before the first inspecou intend to obtain financing, consult with e r an attorney before commencingwo'k or g your Wice of Commencement s _Signature of Owner/Lessee/Agent Signature of Contra c r/License Holder STATE OF FLORIDA � I LLA LA C STATE COUNTOF OY FLORIDA COUNTY OF �Jy" l� l� ThV oing instrument was acknowledged before me The four oing instrument was acknowledged before me this ,day of 20 (�by this = day of U-t M IJ-C 1 .20 :Lby by Michael Heissenb�g Michael Heissenberg (Name of person acknowledging) (Name of person acknowledging) ()(b� 1 9,2� q62nz (Signature of NotaryPu ic-State of F o ) (Signature of Notary Public-State of 'ra) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced -�I a�� HEATHER VI O ) tpgyos HEATHER VIZZO Commission No. 'd .010,65"'.k a Commission No l 7 a Q' ( � NOTARY PUBLIC .rc� NOTARY PUBLI q� �; ,Q C � 1E°4 STA OF FLO IDA «�� � q STATE OF FLORI F1762 8 Revised 07/15/2014 Expires 11/13/2018 r s � �ib Expires 11/13/20 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS