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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED '1 Date: 1��� Permit Number: �/ 01 III WED •_ .0 Building Permit Application NZI Planning and Development Services _ �i0 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 �r� ��� q 01A om:l e. f6Gn prA iA.. .,i� £ �u.e wCG` 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 aT CJiV INpNI Ti{31 �� 3 , m 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: — � N y t'YY I�t'# a� MR 1 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. I 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� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW EVIEW REVIEW DATE COMPLETE INITIALS