HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:,_3�np(SW✓
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
,'PROPQSED )MP1201/EMEtUT LO:CAT)QN
Address:7380 S OCEAN DR 918
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 918
Property Tax ID#: 3522-607-0050-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Pizzano
Setbacks Front X Back: X Right Side: Left Side:
ty 't'r s - ag r � 73 ^
D TA(L D`DESCRIP7`ION t 1=WORK e =
Install 1 accordion & 3 roll shutters
CaNSTRUCTIt3N INFORM ATIO,N
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Additionalwork to e e orme un ert is permit—checka apply:
[]HVAC E]Gas Tank ❑Gas Piping Shutters Windows/Doors
0 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 5,473.00 Utilities:Cn Sewer Septic Building Height:
U111flERjLE$5E .'b } r ° ,. . CONTRACTOR.s ,=,� f.. _; p
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Name Alfonso&Maureen Pizzano Name: Michael Heissenberg
Address:9234 Tamarack Dr Company: Expert Shutter Services
City: West Des Moines State:lA Address: 668 SW Whitmore Dr
Zip Code: 50266 Fax: City: Port Saint Lucie State:FL
Phone No.631-921-1918 Zip Code: 34984 Fax: 772-871-0990.
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: Callexpert@aol.com
from the Owner listed above) State or County License: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENT1� CONST CTION L1A1NINIU�ATION y
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tltecclnc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
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 intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
Signature of Owner/Le see/Contractor as ent for Owner Signature of Contractor/License Hol
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The for oing instr nt w acknowledged before me The forgoing instrument was acknowledged before me
this day oft 20by this day of 20 by
Michael Heissen4rg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
t
OIPgyq Taylor O'Brien
Commission No. GG958999 o s aNOTARY PUBLIC Commission No. GG958999
pRYgss 508IO'Brien
—STATE OF FLORIDA @�g NOTARY PUBLIC
S�ticE t9�� Expires 2/17/2024 Comm#GG958999
Revised 07/15/2014 `r""VeE 191$ -Expires 2/17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS