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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: � SCANNED Permit Number: O I • St. Lucie County Building Permit Application APR 12 2017 Planning and Development Services PERMITTING and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Shutter PROPOSE D,IMPROVEMENT LOCATION: ' Address: 7400 S OCEAN DR 604 Legal Description: SAND DOLLAR VILLAS CONDOMINIUM D- UNIT 209 Property Tax ID #: 3522-606-0023-000-9 Site Plan Name: Gintautas Z Sabataitis Project Name: Setbacks Front Back: "DETA ILED°DESCRIPTION OF WORK,,k Install 1 Accordion Shutter Right Side: Left Side: Lot No. Block No. CONSTRUCTION INFORMATION tiona wor to e erformec un ert Ispermrt—c ec a apply: E1HV, Gas Tank Gas Piping _Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator g Roof Total Sq. Ft of Construction: ScFtFtj. of First Floor: Cost of Construction: $ 6567.00 Utilities: Sewer DSeptic Building Height: 80` OWNER/LESSEE;. = ;' `CONTRACTORe Name Gintautas Z Sabataitis Name: Michael Heissenberg Address: 7400 S OCEAN DR 604 Company: Expert Shutters City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 440-845-2690 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 next page (if different from the Owner listed above) E-Mail: callexpert@aol.com State or County License: 16572 If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. ulcmulm CK/CIV VI IVCtm _ NOT Appllca Ole MORTGAGE COMPANY: X Not Applicable Name: Walter Tiiiit Name: Add ress: 6355 NW 36th St Address: City: Virginia Gardens State: rt City: State: Zip: 33168 Phone: 305-871-1530 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. l�hgyu intend� to obtain financing, consult with lender or an attorney before commencine work or�din� vour. otce of Commencement- _ Signature of Owne(/ Lessee/Agent STATE OF FLORIDA <� ' C' e COUNTY OF �J �I Vl Th c oing instrument was acknowledged before me th' =— day of M61 / Ck 20 1l by Michael Heissenbeg (Name of person acknowledging ) (Signature of Notary Pub c- State of Flo p(d P Personally Known OR Produced Identification Type of Identification Produ�cedl Commission N 10 U/� ,HEATHER VI.ZZO NOTARY PUBLIC STATE OF FLORIDA � / b " C lI� COUNTY OF f� The forving instrument was of knowledged before me thiQ ! day of M (J/�% k , 20 1 1 by Michael Heissenberg (Name oofffpperson acac/know,leedginngg ) —V �, (Signature of Notary Pub c- State of Floe/ Personally Known OR Produced Identification Type of Identification Produced_ Commission N6)'(LlQ (Sea HEATHER VIZ70 !ko NOTARY PUBLIC a +er r Commr# FF176266 o �'�r"'�" o `C,mm# �762 .. - . Revised07/15/2014 `'rCEWAe Expires11/13/2018 <CommiiFFt76266 syr Ta"1 Ex Tres 11113/2011 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS