HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
wr
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 7400 S OCEAN DR 203
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM E- UNIT 203 AND UND PRO -RATA SHAREIN COMMON ELEMENTS
Property Tax ID #: 3522-606-0006-000-4
Site Plan Name:
Project Name: Baltimore
Setbacks Front Back: X
DETAILED DESCRIPTION OF WORK:
Install 4 accordion shutters
Right Side
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Charles Baltimore
Name: Michael Heissenberg
Additional work to be Dert6rmecl under
this permit — check
all
that appy:
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
HVAC
Fill in fee simple Title Halder on next page ( if different
from the Owner listed above)
'X ..- ------- . ..____ ---
Gas Tank
[]Gas Piping
Shutters
a Windows/Doors
11 Electric ❑ Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 3,934.00
Utilities:
Sewer
0Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Charles Baltimore
Name: Michael Heissenberg
Address: 2333 Sandfiddler Rd
Company: Expert Shutter Services
City: Corolla State: NC
Zip Code: 27927 Fax:
Phone No. 252-943-5357
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 Halder on next page ( if different
from the Owner listed above)
'X ..- ------- . ..____ ---
E -Mail: Callexpert@aol.com
State or County License: 16572
- -- -. ��..�•. ��-.�.I — V-_ 0 �«.,nUFLJ rvuuce ur uummencement is required.
(NEER: _ Not Applicable
Name: Tilteco Inc.
Address: 6355 Nw 36th st sutte soy
City: Virginia Gardens
Zip: 33188 Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
State: FL City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY:
Name:
FRONT
Name:
Address:
PLANS
_
Address:
City:
MANGROVE
City:_
Zip: Phone:
REVIEW
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
State:
_Not Applicable
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 intend tg obtain financing, consult with lender or an attorn�q before
commencing work o�0Tt4pR-your Noire of Commencement. �� _-:7/
re of Owner/Lessee/Contractor as Agerqj& Owner Signature of Contractor/License Holder
STATE OF FLORIDAw. �uCl
COUNTY OF �
The forgoing instrument was acknowledged before me
this T day of 20 ZLty
STATE OF FLORIDA, (�T 1_ D lig!
COUNTY OF v 1
The forgoing instrument was acknowledged before me
this )Z day of 20 6 by
Michael HeissenbdirgI Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
ge)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.S STayl1or O'Brien
W ARY PUBLIC
STATE OF FLORIDA
Revised 07/15/2014 'WT_141v Expires 2/17/2024
(Signature of Notary Public- State of Florida )
Personally Known ,_ OR Produced Identification
Type of Identification Produced
Commission No.
(sW O'Brien
NOTARY PUBLIC
-STATE OF FLORIDE
Comm# GG958999
Expires 2/17/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS