HomeMy WebLinkAboutBaltimore applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
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: 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 X Back: X
DETAILED DESCRIPTION OF WORK:
Install 4 accordion shutters
Right Side: Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional wor to e Derform!'
un er t is permit- check a apply:
OHVAC E]nk Gas Tank Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing O Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3,934.00
S Ft. of First Floor: _
Utilities:nSewer Septic
Building Height:
OWNERAESSEE:
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 Holder on next page ( if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
- -- - -� �• ��•.�...1 V-1— a �L. %JnUrLJ ivuuce ur t-ommencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: rlteooirtc.
Address: 6355 Nw 3sth st Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone: _
I certify that no work or installation has commenced prior to the issuance of a permit.
x Not Applicable
State:
Not Applicable
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 intendtgobtain financing, consult with lender or an attorn�q before
ncingwor commek oyFec0Tdjepg-your No ' e of Commencement. )"
re
STATE OF FLORIDA
COUNTY OF_ St , Lu 0
as Agentf6r Owner
nature of Contractor/License Hol
STATE OF FLORIDA 01 t �Ci
COUNTY OF TT li
The forgoing instrumen w s acknowledged before me The forgoing instrument was acknowledged before me
this � day of 20 Z�by this )Z day of 20 by
Michael Heissenberg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
ge)
(Signature of Notary Public- State of Florida )
Personally Known 1 OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
V_.J
(Signature of Notary Public- State of Florida )
1
Personally Known �_� OR Produced Identification
Type of Identification Produced
Ta,Lor O'Brien
9ARYPUBLIC Commission No.
STATE OF FLORIDA
Expires 2/17/2024
(Swpr O'Brien
- NOTARY PUBLIC
'-STATE OF FLORID)
Cm r* GG958999
Expires 2/17/2024
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