HomeMy WebLinkAboutApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L 5's 167-
...............
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
PROPOSED IMPROVEMENT LOCATION:
Address: 7380 S Ocean Drive Unit A #717
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 717
Property Tax ID #: 3522-607-0037-000-3
Site Plan Name:
Project Name: Ponzan
Setbacks Front Back:
Right Side
Left Side:
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK: I
2 Roll Shutters & 2 Accordions
CONSTRUCTION INFORMATION:
-
Additional work to be r)ertormed under this permit c ec all that appy:
HVAC Gas Tank E]Gas Piping Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 11,149.00 Utilities:Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Robert Ponzan
Name: Michael Heissenberg
Address: 7380 S Ocean Dr. Unit A #717
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 954-684-8994
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: Callexpert@aol.com
State or County License: 16572
-a .. qtjvv ul nwFe, a RcwMUCU rvonce or commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: _ Not Applicable
Name: Tilteco Inc.
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 jobsite
before the first inspection. If you intend P obtain financing, consult with lender oattorney befor
commencing work or rewfci gyour Nofice of Commencement. _ / 1 "1
Signature of Owner/Lessee/Contractor as Agent
STATE OF FLORIDA
COUNTY OF Sc. Lucie
The forgoing instrument was acknowledged before me
this 60 day of 20 7Zby
Michael Heissenb6rg
(Name of person acknowledging )
1�a -
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
asggaq
Commission No. GGz�69999 Seal)Taylor O'Brien
n NOTARY PUBLIC
Revised 07/15/2014
Comm# GG958999
Expires 2/17/2024
Signature of Contractor/License
STATE OF FLORIDA
COUNTY OF Si. Lucie
The forgoing instrument was acknowledged before me
this Go day of (r 20 U by
Michael Heissenberg
(Name of person acknowledging )
Nl:(�
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GGa6$ag4asaeagr O'Brien
( NOTARY PUBLIC
a % STATE OF FLORIDA
r; i Comm# GG958999
INCE 191e Expires 2/17/2024
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