HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numb,
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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
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Address: 7430 S OCEAN DR 717
Legal Description. SAND DOLLAR VILLAS CONDOMINIUM B-UNIT 717 AND UND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID#: 3522-603-0036-000-4
Lot No.
Site Plan Name: Block No.
Project Name: Gonzalez
1 Setbacks Front X Back: X Right Side: Left Side: X
DTA{LED QECR)PT)tN C}F WORK , ��x x , :F
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Install 5 accordion shutters
C(� ISTRUCTION'iNFORMATIONy
itiona wor to e e orme un er t is permit—c ec a app y:
11HVAC Gas Tank ❑Gas Piping �_Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers E Generator 11 Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 9,312.00 Utilities:Sewer Septic Building Height:
=0 /NER/LESSEE CONTRACTOR. ,� 3 t
Name Jaime&Hilda Gonzalez Name: Michael Heissenberg
Address:2443 Bay Cir. Company: Expert Shutter Services
City: West Palm Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 33410 Fax: City: Port Saint Lucie State:FL
Phone No.561-722-3918 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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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: XX Not Applicable
'Name: rltecomc. Name:
Address:6355 NW 36th St Suite 305 Address:
IClty: 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
j 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,
I� 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/Lessee/Contractor as Age5y
Owner Signature of Contrac or/ Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucia COUNTY OF St.Lucie
The fo oing instrument was acknowledged before me The for ling instrument was acknowledged before me
this day of 20�by this day of Q 20 '24 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Pu lic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Taylor O'Brien Taylor O'Brien
Commission No. Y, soy, NOTARY PUBL Commission No. �i a �QtRY Y
Q a YI�OTARY PUBLIC
p+STATE OF FL RIDA —STATE OF FLORIDA
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Revised 07/15/2014 s�ryce A��� Expires 2117/2024 Expires 2/17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS