HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ;
RECEIVED
Building Permit Application APR 3 0 2021
Planning and Development Services
Fermitti•uc co D r
Building and Code Regulation Division st. Lucie Courityrt�
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: 7370 S OCEAN DR 916
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG B UNIT 916
Property Tax ID#: 3522-607-0108-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Klamt
Setbacks Front Back: Right Side: X Left Side:
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Install 1 accordion shutter
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Additionalwor to e e orme un er t is permit-c eCK all apply:
11HVAC Gas Tank []Gas Piping Shu Qtters Windows/Doors
Electric 0 Plumbing Sprinklers M Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq, Ft.of First Floor:
Cost of Construction:$ 7,463.00 Utilities: Sewer[]Septic Building Height:
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Name Kathy Jo Klamt Name: Michael Heissenberg
Address:7370 S Ocean DR#916B Company: Expert Shutter Services
City: Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34957 Fax: City: Port Saint Lucie State:FL
Phone No.616-886-8058 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.
SUPPLEMENTAL CONSTRl1CTIC}N LIEN LAVI! tN ?RMATION h o s
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiltecolnc. 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.
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Signature of Owner/Lessee/Contractor a nt for Owner Signature of Contractor/License Ho
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The f$r�$oing instru nt bras acknowledged before me The for oing instrum .nt was acknowledged before me
this (�`1 day off} �� 20 aby this�day of ci 20 —&\ by
Michael Heissenb&g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary lic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GG956999 MV Taylor O'Brien
,`,r'�tQ _'I OTARY PUBLIC Commission No. GG958999 otpRy��Sea#ylor O'Brien
nQ n ary �' �' sp NOTARY PUBLIC
� 1?° +STATE OF IF
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�o ' °^ y+STATE OF FLORIDA
Y4yn: Ss�`
Revised 07/15/2014 '% ��� Expires 2/17/2024 '� Comm#GG958999
•LIEN 11% Expires 2/17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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