HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Planning and Development Services
tion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax'. (772) 462-1578
PERMIT APPLICATION FOR:
Shutter
Commercial X
Residential
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Address.. 7400 S Ocean Dr #403E
Legal Description; SAND DOLLAR VILLAS CONDOMINIUM Em- UNIT 403 AND UND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID #: 3522-606-0014-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Kuyarn
Setbacks
Date:
Permit Number:
Bua 11
ilding Permit Application
Building and Code Regulo
Front Back-, x Right Side Left Side:
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DETAILED
D'ESCRIPTI.O'N.:o'...F...,,..:,W.-.O
Install of 1 accordion shutter
uiuunai war K iU ue PtIlUlItItU unaer tms permit — cnecK an n�-, appiy.0
HVAC IL_Gas Tank Gas Piping � Shutters � Windows/Doors
Electric ❑ Plumbing � Sprinklers � Generator � Roof � Roof pitch
Total Sq. Ft of Construction: Sq. Ft.. of First Floor:
Cost of Con
structioni $ 21164-00 utilities: El Sewer
OWN E.R ''LESS-E-E
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David R Rugani (
Address: 3901 Wild Lilme LN
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City* Coral Springs
State* FL
ZI Code: 33065 Fax:
Phone No. 301-592-5679
E-Mail.W
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
Septic Building Height:
'�VTRACTOR
Name: Michael Hei'ssenberg
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
C�tY; Port Saint Lucie State.. Fl.
Zip Code: 34984 Fax., 772-871-0990
Phone No. 772-871-1915
E ... M a i 1: Callexpertaaol-com
State o County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIG'NER/ENGINEER.'
I MORIr C-OM
N a me: filled), Inc
es..6356 NW %Add r
81 $uife 305
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City: Virginia Gardens
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FEE SIMPLE TITLE HOLDERV Not Appl'
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Address.
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BClNDiNG COMPANY: �_ Not APPI'I'cable
Name' Name44
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Addless: _
Address:
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OWNER/ CONTRACTOR AFFIDVIT,, �p�lication is hereby made, to t�btain a permit to s�o the work and nstallation as indicateri.
I certify ttiat no work or installation has commenced prior to the of a permit.
St. Lucie Count makes no representation that is gra-nb'
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n�a permit wvi11 autharixe tf,t} pcrmit holder to build the subject structure
which isin can ictwith any �pplicabl� HomE� Owners Association rules, bylaws or and covenants that may restrict or prohibit sui
structure. Pleasp. co,nsuli with YOUr Home Ownesrs Associatioii and review your deed for any restrictions which may app1yaqe,_.,,_
In consideration of the granting ref this requested Cac�rmit, I dQ tiVrt!by dgrk:ae that I will, M all aspects, perform the work
It
fn accordance with the'C'iPproved plans, the Florida Building Codes and St. Lucie County Amendments.
The tollowihg building permit applications, are exempt from undergoing a full cancurreracy review: room additions,
accessory structures, swimming pools, fences, walls, sins, scrc-.leiri room-s and accessory uses to anther rron-residiorltial use
"WARNING TO 0'YYNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
T ICE FOR IMPROYEMENTS TO YOUR PROPE Y, A NOTICE Of COMMENCEMENT MUST BCE
POSTED OW THE JOB 517E BEFORE TH FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINA
WITH YOUR LENDER A. ORNEY EFORE RECORDiNC YOUR NOTICE OV COMMENCliMIENT
Signature of Owner) Lp.,,ssee/Cc�rrtr;actor �s Agc�nt f r
STATE OF FLORIDA
COUNTY OF....
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The fo Ding instrunnt was acknowledged before me
this. -----day of jQwas 7by
Name of pewson making statement.
Personally Known ...� OR produced ldentfficatibn
Type of Identification
Produced
(Signature of Notary Public- State of a1F W
�Cy-rpRY Pt1�LtC
Commis'S'ioi-i Na S �'TA��
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REVIEWS
DAT'F _
RECEIVED
DATE
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Signature, of Con tractor/License Holder -06
STATE OF FLORIDA
COUNTY 4F i _ti 0f�'
IN. YOUR PAYING
RIECORMO AND
WING$ C0?4SULT
The for oink instrument was acknowledg'e'dbefore m
this .f,Q �. day of _ SQ� �- ._,, 2 by--------------------------------
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Pr!
Mrinie of person mciki'n�; statementf ...
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Pers"onally Known v � OR Produced Ide..ntification
Tyjae Of 1(J(n1t1firaflon
Produced
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(Signature of Notary Public- State of Flor*
Commiss.ton N��� �_XS
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