HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15.53 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: S L,
hutter
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Address,,
7420 S OCEAN DR 711
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MENNEN
Legal Descrirtion:SAND DOLLAR VILLAS CDND0%1NIUM C-UNIT 711 AND UN I P
C-RATA
SHAREIN COMMON ELEMENTS
Property Tax ID #: 3522-604-00364-0006-7
Site Plan Name:
Pro"ect me:
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Setbacks Front X Back7 6
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Install 2 roll & 2 accordion shutters
Lot No.
Block No.
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ddFfi o n a work to be e rfom Under this permit C ec all apply.
HVAC
Gas Tare Gas i mi n Shutters �111111111
wj oors
Electric
Plumbing
rl*nklersGe
Total Sq. Ft of
Cost of Con
Construction;
structiow $ luol.uu
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rza�� a•'��1J:1ra, YiL1�Si --yam
Sq. Ft. of First Floo
Utilities:
Name Ronald & Jane Palumbo
Address: 7420 S Ocean DR Apt 711
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.. 84511111111-309-3103
Sewer
r:
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J peptic Building Height:
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E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
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Name: Michael Heisenberg
Company9 Expert Shutter Services
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: Callexpertaaol.,com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER ENGINEER Not Appl"ca-bi
MORTGAGE COMPANYA - ----- Not Appil"cable
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Add ress, 6,61. 55 NW 36th St Sum 305
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City'D
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state FL
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FEE SIMPLE TITLE HOLDER% Not Applicable "t4$"'ONDING COMPANY! Not Aor) 'cable
Name:
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OWNER/ CONTRACTOR AFFID'VIT.
I certify that no work or installation lips c
Name.
Address.
city:
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zip: Phone: - __.__ �.
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andApplicationis hereby made. to obtalin a Permitto do the wor installation as indicated.
omn7enced prior to fhe issuance ..of a, permit. __
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St. Lucie County makes no re- resentation that "is granting apermit will authorize.,the perrnifiP hnldor to build the subject structure
which is, in conflict With any applicable Home Owners Ass>ociation rules, bylaws or and cove-nant-s that may restrict or proh'ibit such
0
structure.. Please consult with your Home Owners Association and review votar deed for anv restridionswhich may anniv.
In cansideratian of the granting of this requesteci permit; i
ff A
do f7Ereby agreo that I wvill, If aspects, perform the work
in accordance with the approved plans, the. Florida Building Code
--------- ----- : --- ---- s and St. Lucie County Amendments.
the following building permit applications are exenn tfrom undergoing aconcwrr�ncyPfull. review* room
accessory structures, swimming pools, ientp,s, wills, Signs, screen rooms and accessory uses to anathcr r�nn-resid�rrtiai %A J IU
WARNING TO OWNER." YOUR FAILURE Ti3 tORD A NOTICE OF COMMENCEMEilti MAY 12E5ULT IN YOUR PeY1Nt:
TWICE FOR IMPRCIYEMENTS iO YOUR 1't'ROPERiY. A NOTICE dF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE TH£� FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CdN5UL7
wrrH YOUR L DER cW-AN .4
IYORNEY
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signature of Owner/ LesseeJContract�ar as Aden
STATE Ofi FLORIDA
COUNTY i3F`` I -
:MRE RECORDING YOUR NOTICE OF COM�iEEN�iMENTI'
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0The f oing instrument was acknowledged before rn'e
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Name of person making sta.t e m e n
Personally Known OR Produced Identification
Type of Identification ��� � _
Produced
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Signature,of Cpntractor/Lfc
ltte for
this
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VA
Anse Holder
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ping instrume c was acknow►E>dged before me
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Name ni person making statement,=, „x; � ;. W
Personally Known OR Produced Ide'rrtification
Type of Identification - ----_. _ __
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Produced
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(Signature of Notary Publlc4ao State ofi�caa p��;;c I (Sign'ature of Notary Pu�ficwiw State of'Flor-%rAQVlqhannn iY5l*a
Commission No.
REVIEWS FRONT
COUNTER
DATE �_
RECEIVED
DATE.
COMPLETED..... - - ------
eV. 2/711-9
S
A.TE Off{o4kiC3
NOTARY PUEiL1
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�c4�resCommissionn NoS e ATrOF D.F . � _ _
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ZONING SUPE
4RVlS�Fi PL.ANS VEGETATION SSA iURTiE MANGROVE
REVIEW REVIEW REVfEVJ REVIEVd .... REVIEW fiEVIFW
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