HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. q I C .SCANIVeroit Number:
By
1 St. Lucie County RECEIVED
Building Permit Application FEB 0.9 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter III
Address: 7410 S Ocean Dr#410
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM D- UNIT 410 AND UND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID #: 3522-605-0023-000-6
Site Plan Name:
Project Name: Rennie
Setbacks Front Back: x Right Side:
Install 3 accordion shutters
Left Side:
Lot No.
Block No.
OHVAC
L J
Gas Tank
❑Gas
Piping
Z Shutters
❑
Windows/Doors
OElectric
0
Plumbing
[]Sprinklers
[]Generator
0
Roof
0
Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 8.541.00
S Ft. of First Floor:
Utilities:SewerOSeptic Building Height:
OWVEt/LESSEEc'
GONTRAClOR
Name Eileen 8 Robert Rennie
Name: Michael Heissenberg
Address: 7410 S Ocean Dr #410
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.201-410-2234
Address: 668 SW Whitmore Dr
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.
'SUPPLEMENTALCONSTRUCTION;LIEN TAW INFQRMATIO'N
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
% Not Applicable
Name: nitewinc.
Name:
Add resS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State: 11.
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:
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. If you intend to obtain financing, consult with lender or an attorney before
commencine work or tecordine vourAotice of Commencement. o
Owner
STATE OF FLQQRIDA STATE OF FL IDA
COUNTYOC�+ UlCAr COUNTYOF� UJ-CA-e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged phefore me
this_Lj day of 20�aby this day 1 O by
Michael Heissen4g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
Personally Known OR Produced Identification
Type of Identification ProducedT—r'' JJ
Commission NoAG7)QRyq (S igh Short
Q �¢ N�TARYPUBLIC
SSTATEOFFLORIDA
W =Comn*G
Revised 07/15/2014 sixpE 11F Expires 5/2512021
I(Signature of N�tary-Pubbllic- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.(2614B2. (Seal)
STATE OF FLORIDA
Comm#GG148342
E 193 Expires
5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
3�
COMPLETE
INITIALS
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