HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONh
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1�unoo sprl -4S Permit Number:
�8
Building Permit Application
Planning and Development Services gL`ANNED
Building and Code Regulation Division BY
2300 Virginia Avenue, Fort Pierce FL 34982
irs
AUG 2 3 2017
Phone: (772) 462-1553 Fax: (772) 4621W.Ucle (56MWercial X Residential
PERMIT APPLICATION FOR: Shutter III
Address: 7380 S Ocean Dr#817
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 817
Property Tax ID #: 3522-607-0043-000-8
Site Plan Name:
Project Name: Gonzalez
Setbacks Front Back:
Install 1 Crank Roll Shutter
Right Side: Left Side:
IVI Shutters
❑ Generator
Lot No.
Block No.
❑ Windows/Doors
❑ Roof ❑
Total Sq. Ft of Construction: S'c Ft. of First Floor:
Cost of Construction: $ 839.00 Utilities: Sewer ❑Septic Building Height:
Roof pitch
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Name Evelio Gonzalez
Name- Michael Heissenberg
Address: 810 NW 115th Ave
Company: Expert Shutter Services
City: Plantation State: FL
Zip Code: 33325 Fax:
Phone No. 954410-9189 T_ --^ -
Address: 668 SW Whitmore Or
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
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 $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: TilteWft.
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:
Applicable
Name:
Name:
_Not
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 Counri 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 inspe5tiaQ. If you intenfilto obtain financing, consult with lender or an attorney before
Signature
as A'eent4or Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5J- COUNTY OF S-1 L l l_ r� ti
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Q_ day of ftJ Ia S4 , 20 13-by this Ja day of '�1� Si' , 20 f by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging j (Name of person acknowledging )
J:L'P�gj' -L,
Signature f otary Public- State of Florida) Signature of (o ry Public -State of Florida )
Personally Known OR Produced Identification Personally Known 'V/OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission Nor:161C*OR I)Halelgh Russell Commission No,3,C-:I Q P Chalelgh Russel
NOTARY PUBLIC NOTARY PUBLIC
CWNnN GG108399 Cana# GG108399
Revised07/IS/2014 i Expires525/2021 __ 1 ftireSW5/2021 _
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