HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 2i? (o _v (0-9-9
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 619
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM B- UNIT 619 AND UND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID #: 3522-603-0032-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Lucien
Setbacks Front X Back: X Right Side: Left Side:
... 5 � ai'.,e, 1S ".,,.-r..c..: K ^3 }M��,�i,�ya% �: �£`$�1� g5, �5.�. �• t2' �"'� "-°�,��...�� ,... .w. °� s".! .n.i °i+ud} �,.
Install 3 accordion shutters
£C2�lSTRU y.ION iNtl11 TIpN k z
itiona wor to e e orme un er t is permit — check a apply:
�HVAC Gas Tank ❑Gas Piping Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers Generator E]Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor: �-
Cost of Construction: $ 2,894.00 Utilities: Sewer E Septic Building Height:
Name Robert Lucien Name: Michael Heissenberg
Address: 15 Reed Ln Company: Expert Shutter Services
City: Westbury State: NY Address: 668 SW Whitmore Dr
Zip Code: 11590 Fax: City: Port Saint Lucie State: FL
Phone No. 516-993-2809 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:_ Not Applicable
Name: Tiitewinc.
Name:
Address:
Address: 6355 NW 361h St Suite 305
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:
City:
Address:
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 your Notice of Commencement.
Signature of Owner/Cesseelcontractor as nt for Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
The going instrument was cknowledged before me
this day of n.20 by
Michael Heisse4g
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
�( O1Illy 44
Commission No. �U �2, NOTARY PUB
4 STATE OF FL
" { Comm# GG95
"Nce SV* Expires 2/
Revised 07/15/2014
re
STATE OF FLORIDA
CO U NTY OF St. Lucie
The forgoing instrument was acknowledged before me
this M day of JU n-Q, 20 ZL by
Michael Heissenberg
(Name of person acknowledging)
(Signature of Nota ublic- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
No. S v QQ� ZpRYq eaI ylor O'Brien
,�° o�, NOTARY PUBLIC
o I STATE OF FLORIDA
Expires 2/17/2024
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