HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: p" VPermit Number:
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Building Permit Application
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Planning and Development Services ✓,4� 'I'll O !
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
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� Phone: (772)462 1553 Fax: (772)462 1578 Commercial ldentlal �ie„pdrF„
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PERMIT APPLICATION FOR: Shutter
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PROPOSED IN(PROVEMENT LOCATION
Address: 7400 S OCEAN DR 802
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM E-UNIT 802 AND UND PRO-RATA SHAREIN COMMON ELEMENTS
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Property Tax ID#: 3522-606-0029-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Reeves
Setbacks Front X Back: Right Side: Left Side:
.DETAIL ED�DESCRI.PTIO-N OF;WORK,
Install 1 roll shutter
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CQNSTRUCTI�N INFORMATION
Additionalwork to be nertormed under tisermit
p —check all appy: �
HVAC Gas Tank 0Gas Piping Shutters ❑Windows/Doors
Electric ❑_Plumbing Sprinklers Generator Roof Rooflpitch
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Total Sq. Ft of Construction: Sn
819.00 of First Floor:Cost of Construction:$ Utilities: Sewer[]Septic Building Height:
01NNER/LESSEE CONTRACTOR
Name Eric R Reeves Name: Michael Heissenberg I
Address:PO Box 477 Company: Expert Shutter Services
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City: Rye Beach State:NH Address: 668 SW Whitmore Dr II
03871 Port Saint Lucie FL
Zip Code: Fax: City: State:
Phone No.772-229-7903 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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�I?LEMENTAL CONSTRUCTION LIEN LAIN INFORMATION,
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _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:
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 your property. A Notice of Commencement must be recorded and posted on the jobsitel
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work 9Pf)Kordjng Vour.Alotice of Commencement.
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Signature of Owner/Lessee/Contractor as for Owner Signature of Contractor/License Holder
STATE OF FLORIDASTATE OF��. M1, lJ U I p COUNTY OF ORIDA�G i
COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrumentwas acknowledged before me �
this A-day of 20-LLby this_a day of TO 20 7 by
Michael Heissen4g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known V OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. v (Seal) Commission No. a �ojKRY Ihanon O'Shea
Wy Shanon O'Shea c@ ��NOTARY PUBLIC
NOTARY PUBLIC c STATE OF FLORID
STATE F FLORIDA omm
Revised 07/15/2014 �&IW?Comm#GG258038 s�NCE�0►0 Expires 9/1212022
NCaE le� Expires 9/12/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS