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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPAT-VtFQ� APPLICATION TO BE ACCEPTED Date: J/1/V , Permit Number: , 'q r -: a St•Lucl©Courjt�r Permjnln6 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 P�RC3P05EQ 1M�R01IEMENT�LtCAT1aN l Address: 7410 S Ocean Dr.Apt 607 Legal Description: SAND DOLLAR VILLAS CONDOMINIUM D-UNIT 607 AND UND PRO-RATA SHAREIN COMMON ELEMENTS Property Tax ID#: 3522-605-0032-000-2 Lot No. Site Plan Name: Block No. Project Name: Nelson Setbacks Front Back: X Right Side: Left Side: 4 DE1LEp DE ; RIPTIONaQF ►IO,RK Install 2 accordion shutters Additional work to be nertormed� under t ispermit—check a apply: EIHVAC Gas Tank ❑Gas Piping Shutters E]Windows/Doors Electric 0 Plumbing Sprinklers E]Generator 1:1 Roof Roof pitch Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ 3,702.00 Utilities:In Sewer[]Septic Building Height: N $(DWI T, ER/LES EI x"r C{ NTRACTC}R � Name Sandra Lynn Nelson&Alicia Del Carmen Aguilar- Name: Michael Heissenberg Address:7410 S Ocean Dr.Apt 607 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.954-448-4130 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. SLEMLNT�A CUNSTRUION LiN1.AU1/ INFMA 10tV. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Tiltecolnc. 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 lJotice of Commencement. =� s Signature of Owner/Lessee/Contractor gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St.Lucie COUNTY OF-St.Lucle The forgoing instrurqent was acknowledged before me The forgoing instrument was acknowledged before me this (� day of 20D?a by this_day of JQ/n, ,20 02a by v Michas(Heissen4M Michael Heissenberg, (Name of person acknowledging) (Name of person acknowledging) t ta. (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 ,otPR 4's NOTARY PUBLIC hanon O'Shea Commission No. GG258038 pQ aommission NO. GG258038 �O(ARY a _STATE OF FLORIDAORI Q n OTARY PUBLIC y i Comm#GG25803 0 o STATE OF FLORID cE 19 Exptres Revised 07/15/2014 •qNCE 191e Expires 9/12/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW, REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS -