HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 1��� Permit Number: �/ 01
III WED
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Building Permit Application NZI
Planning and Development Services _
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Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F134982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
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Address: 7440 S OCEAN DR 624
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM A- UNIT 624 AND UND PRO-RATA SHAREiN COMMON ELEMENTS
Property Tax ID #: 3522-602-0021-000-3 I Lot No.
Site Plan Name: I Block No.
Project Name: Massaro
Setbacks Front Back: X Right Side: Left Side:
Install 1 accordion shutter
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Additionalwork to be nertormpd under this permit— check a apply:
❑HVAC L_J Gas Tank Gas Piping Shutters ❑ Wi dows/Doors
❑ Electric 0 Plumbing ❑ Sprinklers ❑ Generator, ❑ Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
I
[]Septic
Cost of Construction: $ 2,847.00 Utilities:Sewer Buil ing Height:
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Name Don A Massaro
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
Address: PO Box 788
City: Sound Beach State: NY
Zip Code: 11789 Fax:
City: Port Saint Lucie I State: FL
Phone No. 631-821-2809
Zip Code: 34984 iax. 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.E
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecc Inc.
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
4 Not Applicable
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
City:
Zip: Phone:
I
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 bui d 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 hlch may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, pe orm 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 Idditions,
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.
re of Owner/Lesse /Contractor as AiOnt for Owner I Signature of Contratctor/rcense Hold
STATE OF FLORIDA v I STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledge before me
this � day of ��S , 20 cby
Michael Heissenbg
(Name of person acknowledging)
0'%Jk�
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
cPAYA hanon O'Shea
Commission No. �° OTARY PUBLIC
MSTATE OF FLORID
The forgoing instr ment was ackn
this _ day of
-dged before me
20 d_1 by
Michael Heissenberg
(Name of person acknowledging)
&VOlk- 0(
(Signature of Notary Public- State oflFlorida )
Personally Known x OR Prod
Type of Identification Produced_
Commission No.
Identification
Shanon O'Shea
,. NOTARY PUBLIC
Revised 07/15/2014 , WiS 112/2022
Expires 92 Comm;GG25fi038
�43119�% Expires 9/12/202�
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