HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 110 1 - 00 zs'
Ramm- SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie Count%
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
�PROP6SIEP] M-PROVEM"ENT L1b,cATi.6N:,
Address: 7410 S OCEAN DR 209
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM D- UNIT 209
Property Tax ID #: 3522-605-0010-000-2 Lot No.
Site Plan Name: Henry H Kliebisch Block No.
Proiect Name:
Setbacks Front Back: _ Right Side: Left Side:
InstaIlL1 Accordion Shutter
CONST''
RLICTION'tIN FORMATION:
)�ciditionalWorl(tobe ertormed under
1]HVi M Gas Tank
this permit — cnecK
EGas P
all
apply:
Shutters
Windows/Doors
11 Electric El Plumbing
[]Sprinklers
El Generator
El Roof
Total Sq. Ft of Construction:
Sc Ft of First Floor:
Cost of Construction: $ 4682.00
Utilities: n
Sewer DSeptic
Building Height: 80'
"CONTRACTOR:
Name Henry H Kliebisch
Name: Michael Heissenberg
Address:-7410 S OCEAN DR 209
Company: Expert Shutters
City: Jensen Beach State: FL
-Zip Code: 34957 Fax:—
Phone No 201-805-7573
Address. 668 SW Whitmore
City: Port St Lucie State: FL
Zip Code: 34984 Fax:
Phone No. 772-871-1915
E-Mail: .
Fill in fee simple Title Holder on nextpage(if different
from the owner listed above)
E-Mail: callexpert0aci.com
State or County License: 16572
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEM 'bN'STROC
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11EIN? ' W
A A
DESIGNER/ENGI NEER: Not Applicable
Name: WalterTillit
MORTGAGE COMPANY:
Name:
X Not Applicable
AddresS:6355NW36thSt
Address:
City: virgima Gardens State: Fl.
Zip: 3316B Phone: 305-871-1530
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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 Coun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conWict with any applicable Home Owners Association rules, bylaws or an9covenants 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 lejider or_imattorn7 before
commenciruzvvareo—Rre��' vourNdliceof Commencement. _�% �
—Signature of Owner/ ee/A eint 'Ja'\7. I Signature ot Contractor/License Holdc
STATE OF FLORIDA + STATE OF FLORIDA
COUNTY OF iQ COUNTYOF
'�� L\.AC;-�
Th5foirving instrmt w k iowledged before me
t hi —day of _ - t;;�ar , 20 16y
Michael
person
Th' forg ing instriument was acknow,ledge V Pefore me
t L)]4:day of fA U M b4o 20 L
h -bc !4! &. by
Michael
person
of Notary
Personally Known V OR Produced Identification Personally Known
Type of Identification Produced Type of Identifical
HEATHER VIZZO
Commission Nof�p &WY4 NOTARYPUBLIC Commission NoA
STATE OF FLORIDA
Cro�crirnft PFJ7A9
17A9 9
Revised 07/15/2014 1QE fflb Expires 11 /13/2018
OR Produced Identification
NOTARY PUBLIC
STATE OF FLORI
Comm# FF176266
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