HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r��r
Date: Permit Number: ( 10 '®3QU
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
PROPUD It1tIPR SEOVEME,NT LC�`CATION
Address: 7380 S OCEAN DR 620
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 620
Property Tax ID#: 3522-607-0034-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Matthews
Setbacks Front Back: X Right Side: Left Side:
T
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t �TA)LED L ,�RIPTION O UU(JRK� �
Install 2 accordion shutters
CCINSTRUCTIDN INFORIUATION w
Additional work to e nertormpd under t is permit—check all apply:
F]HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers 0 Generator F] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3,421.00 Utilities:Sewer 0 Septic Building Height:
t ' kIEFtjLE5SEn nNTRAC �?R• ` "
-... _Nrg a," '. hE•. E " .i� .sue
Name Victor Matthews Jr&Elvira Romero-Matthews Name: Michael Heissenberg
Address:11191 NW 18th Ct Company: Expert Shutter Services
City: Coral Springs State:FL Address: 668 SW Whitmore Dr
Zip Code: 33071 Fax: City: Port Saint Lucie State:FL
Phone No.954-857-1447 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.
DESIGNER/ENGINEER: =Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiltecclnc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: Zip: Phone:
III
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 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
Signature of Owner/Lessee/Contract as Agent for Owner Signature of Cont cto /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&q�_day of ou 20c)�_by thisav day of 20 2L by
Michael Heissenberg 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
Shanon O'Shea o�NRYAsr Shanon
aSMUT
Commission No. GG258038 X1c -
q1 OTARY PUBLIC Commission No. GG258038 Q � �fARY PUBLIC
STATE OF FLORIDA Wl�
STATE OF FLORIDA
8 Comm#GG258038
Revised 07/15/2014 /Vcr_IRZxres 9/12/2022 Expires 9/12/202
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS