HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: )_2 (O-1 Permit Number: l2^
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Building Permit AppI kation '
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Planning and Development Services 00.
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Building and Code Regulation Division P' .�
2300 Virginia Avenue, Fort Pierce FL 34982 `��-�P�t
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
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PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION
Address: 7440 S OCEAN DR 826
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM A-UNIT 826 AND UND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID#: 3522-602-0031-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Villalba
Setbacks Front X Back: Right Side: Left Side:
bETAILED DESCRIPTION OF V1/ORIC�� 3 ' u
Install 1 accordion shutter
CtNSTRUCTION,INFORIVIATION .
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Additionalwor to a pe orme under this permit—check a apply:
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HVAC Gas Tank Das Piping Shu_ 'tters Q Windows/Doors �
E]Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 377.00 Utilities: —Sewer Septic Building Height:
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QWNER/LESSEE CONTRACTOR
Name Victoria E Villalba Name: Michael Heissenberg
Address:234 Camilo Ave Company:,Expert Shutter Services
City: Coral Gables State:FL Address: 668 SW Whitmore Dr
Zip Code: 33134 Fax: City: Port Saint Lucie State:FL
Phone No.786-797-4473 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN �NC}RMATION
� I: �. pp MORTGAGE COMPANY:. ..w._.
. . _ .�.;
DESIGNER/ENGINEER: _Not Applicable x Not Applicable
Name: Tiltecolnc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: 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 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 inten to obtain financing, consult with lender or an attorney b ore
commencingwor r r o. our tice of Commencement.
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Signature of Owner/Lessee/Contractor as Agen r Owner Signature of Contract License Holder
STATE OF FLORIDA STATE OF FLOR �n
COUNTY OFe� COUNTY OF W
The f oing instru ent was acknowledged efore me The forgoing instru ent was acknowledged before me
this day of 20 V.by this_Jpay of 20 4 by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of,Nota7Publi State of FloridaPersonally Known NOR Produced Identification Personally Known R Produced Identification
Type of Identificatio�i Produced Type of Identification Produced
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Shanon O'Shea
Commission No e�tARy (NOTARY PUBLIC Commission Nq I) Shanon ,O'Shea
o STATE OF FLORID a� NOTARY PUBLI
I-emrn#G1339'580,18f
"WE ATI Expires 9/12/2022 : Comm#GG258 31
Revised 07/15/2014 /HCE19��
Expires 9/12/202 .
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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