HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- Building F pplication
Planning and Development Services Pik
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 nM
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Address: 7430 S OCEAN DR 822
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM B-UNIT 822 AND UND PRO-RATA SHAREIN COMMON ELEMENTS
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Property Tax ID#: 3522-603-0047-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Miller
Setbacks Front X Back: Right Side: Left Sider X
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Install 1 accordion shutter
CONSTRU IQN INFORMATION F�
itioria work to e performed under t ispermit—c eC a„ apply:
IHVAC 17 Gas Tank ❑Gas Piping �_Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers F ]Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 8,835.00 Utilities:Sewer Septic Building Height:
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Name Mark Miller Name: Michael Heissenberg
Address:2543 Escott RD Company: Expert Shutter Services
City: Corunna State:MI Address: 668 SW Whitmore Dr!
Zip Code: 48817 Fax: City: Port Saint.Lucie State:FL
Phone No.989-413-8939 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.
S�IIPPL�IVf��N��A�I�C�O�„„NSA
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X_Not Applicable
Name: Tiltecolnc. Name:
Address:6355 NW 36th St Suite305 Address:
City: Virginia Gardens State: FL City: State:
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Zip: 33166 Phone: Zip: Phone:
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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. i
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['will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. i
The following building permit applications are exempt from undergoing a full c6ncurrency 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 r din our Notice of Commencement. , t
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Signature of Owner/Lessee/Contractor as Ageny1r Owner Signature of Contractor/Licens Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Luc1e COUNTY OF St.Lucie
The forgoing instru ent was acknowledge before me The forgoing instrument was acknowledged before me
this day of 20�by this 10day of - 20 Q by
Michael Heissenbt4g Michael Heissenberg.
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida) (Signature of Notary Pu ic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
�Q'IPRyAB hanon ea 0lP yqs anon
Commission No. -��JU�/ � IrOTARY PUBLIC Commission No. s NOTARY PUBLIC
09 +STATE OF FLORID i =STATE OF FLORI
Comm#GG258038 Comm#GG25803
s�NCE 19� Expires 9/12/2022s�NCE�g� Expires 9/12/
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS