HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: SCANNED Permit Number:) 706
BY
St. Lucie County RECE" a -i
Building Permit Application AUG 2 3 2ow
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
PERM] IT{` AP'P�yL�IICA�(TI�ONj� FOR: Shutter
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Address: 7430 S Ocean or #622
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM B- UNIT 622
AND UND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID #: 3522-603-0035-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Isasi
Setbacks Front Back: X Right Side: Left Side:
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Install 1 Accordian Shutter
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Itlona wor to e e orme under Tispermit—c ec a apply:
OHVAC 11 Gas Tank Gas Piping Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers 11 Generator F—] Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 684.00 Utilities:nSewer.0Septic Building Height:
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Name Gabriel & Mairim Isasi
Name: Michael Heissenberg
Address:1409 Carribean Road E
Company: Expert Shutter Services
City: West Palm Beach State: FL
Address: 668 SW Whitmore or
City: Port Saint Lucie State: FL
Zip Code: 33406 Fax:
Phone No.561-714-0888
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.
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DESIGNER/ENG[NEER: _
Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name: Tilteminc.
Name:
Address: 6366 Nw 36thst suite 30e
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:
1 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 intengrto obtain financing, consult with lenders a�l attoTey before
Owner
STATE OF FLQC�RIDpA STATE OF FLO DA
COUNTY OF`�, I IAI� IF COUNTY OF
The forgoinstrument was acknowledged before me The forgoing instrument was knowledged before me
this'll day of 20 Lby this day of ac20 0_ by
Michael Heissenb4M Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
Signature of N t ry Public- State of Florida) (11griature of N a Public- State of Florida )
Personally Kno v OR Produced Identification Personally Know ✓/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
ry ("� MOO
Halegh kus3eil
Commission N 1S I NARY L Commission No� � �O / NOTARY P1031-I0
STATE OF FLOR DA STATE OF FisJR'
ComniffiGGIOB&M
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Revised 07/15/2014 t E)Ores 5/ =021 �t Expires 5l25/20
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