HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: `'oZ� Permit Number:
00
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BuildiAgT,� !Ai',t Application
Planning and Development Services
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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 517
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM.B- UNIT 517 AND UND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID #: 3522-603-0024-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Deluise i
Setbacks Front Back: Right Side: X Left Side:
Install 1 accordion shutter
F]Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction.: $ 7,934.00
OSprinklers El Generator 0 Roof Roof pitch
S . Ft. of First Floor:
Utilities:cnSewer Septic Building Height:
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Name Margaret Deluise
Name: Michael Heissenberg
Address: 56 W Market ST Apt 3
City: Bethlehem State: PA
'Zip Code: 18018 Fax:
Phone No. 610-217-8420
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecolnc.
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name: _
Address:
City: _
Zip:
Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: I State:
Zip: Phone:
BONDING COMPANY: i _Not Applicable
Name:
Address:
City:
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 inspectionJQou intend to obtain financing, consult with lender or an attorney before
commencing work or re ordi vjo+ir Notice -of Commencement. n
STATE OF FLORIDA
COUNTY OFSt. Lucie
as Agefft f Awner I Signature
The forgoing instru ent was acknowledged before me
this day of PA. 20 p2Lby
STATE OF FLORIDA
COUNTY OF St. Lucie
The X
oing instr ment was acknowledged before me
this day of 20 a' by
Michael Heissen4g Michael Helssenberg
(Name of person acknowledging) I (Name of person acknowledging)
&N&— � (qtcr, - &A&— 6t &O's,
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known x
Type of Identificatio
Commission No
OR Produced Identification
Produced
rim n INRygss Snanon v acted
WTARY PUBLIC
a — STATE OF FLORIDA
ty z Comm# GG258038
Expires 9/12/2022
Revised 07/15/2014
Personally Known x OR Produced Identification
Type of Identification Produced
Commission NZE Shanon O'Shea
NOTARY PUBLIC
STATE OF Ft no,
uomm# GG258038
Expires 911212ng;
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