HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO l MUST BE/COMPLETED FOR APPLICATION TO BE ACCEPTED J �t
Date: '1/ - Z fBESCANNED Permit Number: / 1 V Yam- i? 5 07
rL rir, _; BY
_ St. Lucie County �tECEIED
Building Permit Application
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
APR 18 2018
Mina Department
PERMIT APPLICATION FOR: Shutter 1
('PROPOSED IMPROVEMENTLOCATION: ° =
Address: 7400 S Ocean Dr #604
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM E- UNIT 604 AND UND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID #: 3522-606-0023-0009-
Site Plan Name:
Project Name: Sabataitis
Setbacks Front Back:
I Install 1 RoII.Shutter
Right Side: X Left Side:
5
Lot No.
Block No.
'CONSTRUCTION IIVF6RMATION
b
d
Additiona wor to e errormed
�HVP
un ert
Gas Tank
ispermit—c ec
❑Gas Piping
a
apply:
Shutters
❑Windows/Doors
Electric El Plumbing
Sprinklers
70 Generator
El Roof Roof pitch
Total Sq. Ft of Construction:
Sat--F—t.� of First Floor:
Cost of Construction: $ 1,415.00
Utilities:
Sewer 0 Septic
Building Height:
-OWN
CONTRACTOR:
Name Gintautas & Camille Sabataitis
Name: Michael Heissenberg
Address:4302 Forest Hills Blvd
Company: Expert Shutter Services
City: Parma State:OH
Zip Code: 44134 Fax:
Phone No.440-666-8426
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.
SUPPLEMENTAL CONSTRUCTION LIEN;LAW jNFC,RMATION
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecoinc.
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 6355 NW 361h St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: Not Applicable
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
commencing work-er�recording u6ur Notice of Commencement. _
Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFf� I A t i P COUNTY OFL]T 1 ,—LC-4—if
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day ofJ�!I� 1 20 A&by this "day of ( n l 20 1S by
Michael Heissenb6g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
p.y Haleigh Short
Commission No BdOTARYPUSLIC
=fie ttsr �—_STATEOFFLORIDA
Revised 07/ 15/2014
Expires 5125/2021
(Signature of N(Jry Public- State of Florida )
Personally Known ✓liOR Produced Identification
Type of Identification Produced
Commission No.GG—i12 , Wp I) Haleigh Short
Expires
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