HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �►111 15 �.1 Permit Number: a1ti1� 0`�
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Building Permit Application NOV 15 2021
Planning and Development Services
Building and Code Regulation Division St.Lucie County
Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PR�3POSED IMPROVEMT LOCATIt3N . .F'
Address: 7410 S OCEAN DR 305
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM D-UNIT 305 AND UND PRO-RATA SHAREIN COMMON ELEMENTS(OR 3714-1771)
Property Tax ID#: 3522-605-0012-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Jimenez
Setbacks Front Back: Right Side: Left Side: X
D�A1LED DESCRIPTION QF WORf�` a 3,
,s a.
Install 1 accordion shutter
CQNSTRUCTIaN INFORMATIQN
r.
Add itiona I work to be nertormed under this permit check a apply:
�HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers - —Generator F] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 619.00 Utilities:n Sewer ElSeptic Building Height:
011NERjLESSE CONTRACTOR
x
Name JMR Playa LLC Name: Michael Heissenberg
Address:11352 W State Road 84# Company: Expert Shutter Services
City: Davie State:FL Address: 668 SW Whitmore Dr
Zip Code: 33325 Fax: City: Port Saint Lucie State:FL
Phone No.786-246-6171 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.
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DESIGNER/ENGINEER: `Not Applicable MORTGAGE COMPANY: X_Not Applicable
Name: Titteco 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 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.
1
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Signature of Owner/Lessee/Contract as Agent for Owner Signature of Contractor/License Hol r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucia
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 12 day of 14OWPnMotr 20a1 by this 1a dayof Nogtmbce 20a) 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 qhnnon O'Shea Type of Identification Produced
n O'Shea
s NOTARY PUBLIC AA..
RY PUBLIC
Commission No. GG258038 o� ( ATE OF FLORIDA Commission No. GG258038 '9 SS E OF FLORIDA
Comm#GG258038 Comm#GG258038
expires 914212022 Expires
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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