HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE IN O M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: co U �O
s
SCBIY ED
Building Permit Application
Planning and Development Services St. Lucie County
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
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Address: 7380 S OCEAN DR 820
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 820
Property Tax ID #: 3522-607-0046-000-9 Lot No.
Site Plan Name: Block No.
Project Name: WIGGINS
Setbacks Front X Back: X Right Side: Left Side:
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INSTALL 3 ACCORDIAN SHUTTERS AND 1 CRANK ROLL SHUTTER
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Addunerispermitcec allitiona workto orme
OHVAC Gas Tank Gas Piping �_ Shutters ❑ Windows/Doors
11 Electric OPlumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: St1. Ft. of First Floor:
Cost
Coryonstruction: $ 4,101.00 Utilities: In�Sewer Septic Building Height:
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Name Susan Wiggins
Name: Michael Heissenberg
Address:8415 SW 107th Ave #167W
Company: Expert Shutter Services
City: Miami State: FL
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 33173 Fax:
Phone No. 786-942=6047�--
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
State or County License: 16572
from the Owner listed above)
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: rltecoinc.
Name:
Address: 6355 NW 36th St Sufte 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:
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 wi n or an att ney before
commencing work or recordinevour Wice of Commencement. /J ///
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S� l 1 L 1 if I COUNTY OF SA- l �ALa e
The for oing instrument was acknowledged before me
this day ofJ I A 1 1�1 20 )-1by
Michael
State
Personally Known OR Produced Identification
Type of Identification Produced
Commission
Halalgh RUMell
NOTARY PUBIJ
CommO GG1 D8388
Explres.512=021
The forgoing instrument was acknowledged before me
this,-5dayof 20 Jaby
Michael Hsissenberg
(Name of person acknowledging)
( ig ota ature of Public- State of Florida )
Personally Known `� OR Produced Identification
Type of Identification Produced
Commission No.
FLORIDA
Expires 512512021
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