HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �� •Q
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
PROPCI5DIt1CP01lEMENT LOCAT�iN 1 a
Address: 7400 S Ocean Dr.Apt 801
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM E-UNIT 801 AND UND PRO-RATA SHAREIN COMMON
ELEMENTS(OR 669-2958; 3353-462)
Property Tax ID#: 3522-606-0028-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Frechette
Setbacks Front Back: Right Side: Left Side: X
DAILED DECRIpTION Q WORK z 3
.,r.m, z e d �` F
Install 1 crank roll shutter
CO�ISTRUCTL INF ORMATION
�....
HVAC Gas Tank Gas Piping Shutters Windows/
Additional workto a neorme un ert is —checkpermit a apply:
QDoors
Electric 0 Plumbing Sprinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 1,654.00 Utilities:In Sewer[]Septic Building Height:
QINNERf LESSEE CONTRACTOR
,
Name Michael Frechette&Donna Frechette Name: Michael Heissenberg
Address:7400 S Ocean Dr.Apt 801 Company: Expert Shutter Services
City: Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34957 Fax: City: Port Saint Lucie State.FL
Phone No.860-608-5276 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.
'-•k�A .r� Pi ,_
SU�PPLNiENT1L,CONSTRUCTION L) N LAW INC?RMATION �. �
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tilteco Inc. Name:
Address:6355 NW 36th St Suite 305 Address:
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: Address:
City: 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 conc6rrency 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 our Notice of Commencement.
s
ignature of Owner/Lessee/Contracto Agent for Owner Signature of Con ractor/License Hol
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this. day of �'� . 20 -by thiq2L day of ek4- 20,2� by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GG258038 1 Se anon O'Shea Commission No. GG258038 Q�t S N99 ARY PUBLIC
�9,I TARY PUBLIC 9 TATE OF FLORIDA
STATE OF FLORIDA
Comm#GG258038
=Comm -38
E 1 - Expires 91121202
Revised 07/15/2014 _/NCE 19ke Expires 911212022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS