HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST
7BBEE�COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: , ��?%dl �'� Permit Number: r
Building Permit Application per k*
Planning and Development Services
Building and Code Regulation Division
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2300 Virginia Avenue,Fort Pierce FL 34982 e coy?tine
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED {N(PROVEMENT LOCATION x
Address: 7400 S OCEAN DR 601
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM E-UNIT 601 AND UND PRO-RATA SHAREIN COMMON
ELEMENTS
Property Tax ID#: 3522-606-0020-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Millar
Setbacks Front Back: X Right Side: Left Side:
:D ETAILED,DESCRIPTION:.OF 1lU0RK:
Install 1 accordion shutters
CONSTRUCTIC}N INFORMATION
Additional work to e e orme un er t is permit—c e a app y:
HVAC E] Gas Tank F]Gas Piping ( Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers 0 Generator F] Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 7,679.00 Utilities:Sewer 0Septic Building Height:
Q1NN"ER/LESS E CONTRACTOR
� �
Name Elaine Millar Name: Michael Heissenberg
Address:220 Curtis Ave Company: Expert Shutter Services
City: Point Pleasant Beach State:NJ Address: 668 SW Whitmore Dr,
Zip Code: 08742 Fax: City: Port Saint Lucie State:FL
Phone No.732-899-2756 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 GONSTRUCTIgN LIEN LAWN
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: 'filtecolnc. 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:
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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 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 lender or an attorney before
commencing work o o_rAing yoX?Notice of Commencement.
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Signature of Owner/Lessee/Contractor as/Agent for Owner Signature of Contractor/ icense Horde r
o der
STATE OF FLORIDA (�L �(A6 f STATE OY F ORIDA % �t ' nl
COUNTY OF �1"f V vel.
The forgoing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20�by this day of �l l 20 by
Michael Heissen4g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
JqAWPk �)( Fla"% —60� bt�A�
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida
' )
Personally Known / OR Produced Identification Personally Known \/liOR Produced Identification
Type of Identification Produced Type of Identification Produced
Q6vtQ Shanon O'Shea Q� Shanon O'Shea
Commission No �O *z§SSD�� Commission No. NOTARY;PUBLIC
NOTARY PUBLICSTATE OF FLOR A ?+STATE OF FLORI— 0 0613258031
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Revised 07/15/2014 s/NCE\e�� Expires 911212022 �S�NCE ISNZ; Expires 9112!20
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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