HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-%I'l4 Permit Number:
Building Permit Application `V
Planning and Development Services I MAR 022018
Building and Code Regulation Division i
or '
2300 Virginia Avenue, Fort Pierce FL 34982 �irle County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential -�
PERMIT APPLICATION FOR: Shutter
PRQ,POSED IMPROVEMENT:LOCATION
Address: 7380 S Ocean Dr #420
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 420 (OR 4005-2415)
Property Tax ID #: 3522-607-0022-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Tyrrell
Setbacks Front Back: x Right Side: Left Side:
DETAAfLED.dESCRIPTIOk'b`F UQRK,
Install 1 accordion shutter and 1 roll shutter
1``(ONSTRUCTION INFORMATION-,'
- _.,
OHVAC Gas Tank Gas
11 Electric Plumbing []Spr
Total Sq. Ft of Construction:
Cast of Construction: $ 4,285.00
na— cnecKan appry:
Piping Shutters
ors 11 Generator
S Ft. of First Floor: _
Utilities: Sewer O Septic
Windows/Doors
Roof = Roof pitch
Building Height:
CtU1%(VERJLESSEE@.
-
CONTRACTOR:
Name Maria Vidakis
Name: Michael Heissenberg
Address:1021 NW 185th Terr
Company: Expert Shutter Services
City: Pembroke Pines State: FL
Zip Code: 33029 Fax:
Phone No.954-501-5948
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 I 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.
SUPPLE1VfEf�TALGONSTRUC71QIN JEN�L.4 INFORMATIQN.
�.. �
., , .
i:.
DESIGNER/ENGINEER: _ Not Applicable
Name: Tifteceln.
MORTGAGE COMPANY:
Name:
x Not Applicable
Add ress: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State; Fl.
Zip; 33166 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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 jobsit
before the first inspection. If you interjo to obtain financing, consult with lender or an attorney b fore
commencing work co dins vourArotice of Commencement.
STATE OF FLORIDA " STATE OF FLORIDA
COUNTY OF,c�}- LA-A-Gt 42 1 COUNTY OFF Ll.CG1-e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20by this=RO day of re-EJ 1, 20 Aby
Michael Heissenbilrg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
1(Signature �bf�lotary Public -State of Florida )
Personally Known �/ OR Produced Identification _
Type of Identification Produced
Commission NoGG1(4 T34Z (Seal)
.fili8ygo H_aleigh Short.
x NSTATEOFFLORIDA
Revised 07/15/2014 w a-Mrrdfrr1A%k'1 )
State
Personally Known - OR Produced Identification _
Type of Identification Produced
Commission NoeL& 4t3L/.ayqr_ (SUfth Short
Expires512512021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
3 /S
INITIALS