HomeMy WebLinkAboutApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
J
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: 7420 S Ocean Dr 216
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM C- UNIT 216 AND UND PRO -RATA SHAREIN COMMON ELEMENTS
Property Tax ID #: 3522-604-0011-000-6
Lot No.
Site Plan Name: Block No.
Project Name: _U(A1� I(�l;',� L
Setbacks Front Back: Right Side: X Left Side:
DETAILED DESCRIPTION OF WORK:
Install 1 accordion shutter
CONSTRUCTION INFORMATION:
Acl1. 15 wo rk to 5 e er ormed under t is permit - c ec a appy:
HVAC Gas Tank Gas piping ✓ Shutters Windows/Doors
Electric ❑Plumbing ❑ Sprinklers M Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 773
SFt. of First Floor: _
UtilitiestSewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name I ff Ick
Address: 7420 S Ocean D Apt C216
Name: Michael Heissenberg
Company: Expert Shutter Services
City: ,Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 631-965-5900
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
_�•-� �• y�..,...,� mutc, d nr%.VRUCU imouce oT Iommencernent is requlrea.
5UPPLEMENTAL CONSTRUCTION LEEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable pp
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 noworkwork or installation has commenced prior to the issuance of a permit..
whichisis inconflictwith any applicablelHo a Owners Assoclatlonl permit will
or and covenants that maydrestrlct ogre proh bit 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 t obtain financing, consult with lender or an attorn before
commencing work o our No ' e of Commencement.
s
Signature of Owner/Lessee/Contractor as Agen r Owner
Signature of Contractor/License Holder
(�{ t �f i p
STATE OF COUNTY OF 1�" u l
STATE OF FLORIDA (} II 111 I r, I
COUNTY OF `1
The f oing instrument w $acknowledged efore me
this _T day of �- 20 by
The forgoing instrument was acknowledged before me
this day of (r 20_M by
Michael Heissenb*g
Michael Hsissenberg
(Name of person acknowledging)
(Name of person acknowledging)
q �
U
(Signature of Notary Public- State of Florida)
Personally Known � OR Produced Identification
Type of Identification Produced
Commission No. "t�v`'1�"I aa NOTARY PUBLIC
o c STATE OF FLOR
y _ 2 Comm# GG95899
— —
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification P oduced
Commission No. aVIG BAR I aylor O'Brien
A < o OTARY PUBLIC
- STATE OF FLORID
A e Expires 2/17/2024 �: om
Revised 07/15/2014 El Expires 2/17/2024
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
aEssEXPERT
SHUTTER SERVICES INC.
`We're Taking The Shutter Industry By Storm"
7420 S Ocean Drive. Unit 216 C
Jensen Beach, FL. 34957
631.965.5900 0
668 S.W. WHITMORE DR.
PORT ST. LUCIE, FL 34984
(772) 871-1915 (800) 749-9056
FAX (772) 871-0990
3/11/20) sir 10 it ( 966f?
7420 S Ocean Drive. Unit 216 C
Sand Dollar Jensen Beach, FL. 34957
• mi OWNER i A
SHUTTERS MEET ALL LOCAL BUILDING CODES. APPROX. DELIVERY 12-14 WEEKS
FIVE YEAR WARRANTY FOR PARTS AND LABOR. QUOTES ARE VALID FOR 30 DAYS.
SHUTTERS MUST BE MAINTAINED PROPERLY (SEE MAINTENANCE INFO.). 140
Email to: jamsteigerwald@gmail.com
P&���
PAUL BARR
WWW.EXPERTSHUTTERS.COM
TOTAL
$773
DEPOSIT
$257
BALANCE
$516