HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 51�11\4" Q(,APermit Number: V36S_O1i1
NNED
BY
St. Lucie County ERECEIVED
Building Permit ApplicationY 17 ?019
Planning and Development Services
Building and Code Regulation Division county, Pnfmlttln¢
2300 Virginia Avenue, Fort Pierce FL 34982 ---
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter—
Address: 7370 S OCEAN DR 816
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG B UNIT 816
Property Tax ID #: 3522-607-0102-000-0
Site Plan Name:
Project Name: Vidakis
Setbacks Front Back: X
Right Side: Left Side:
I:DEiAILEDDESGRIPTIOWOF=WORKx
Install 1 roll shutter
NSIKI'1t tlUN INFORMATION:
C�HVAC Gas Tank
Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2,126.00
Lot No.
Block No.
Piping ZShutters ❑Windows/Doors
nklers O Generator Roof = Roof pitch
S Ft. of First Floor: _
Utilities:cn Sewer O Septic
Building Height:
OUVtdER/LSSEEc = "
GONTRAGIOR: a r,
Name Maria Vidakis
Name: Michael Heissenberg
Address:1021 NW 185th TER
Company: Expert Shutter Services
City: Pembroke Pines State: FL
Zip Code: 33029 Fax:
Phone No. 954-501-5948
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
•• -o•..� �• •�••�••��•�..�� »���...,, ,no,c, a nnwnucu sauce or Lummencement is regwrea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Tiiteminc. Name:
Ad d ress: 6355 NW 36m s1 Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip:33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 in�qpd to obtain financing, consult with le er r an attorneyja'efore
as
STATE OF FLORIDA
The for oing instru n w acknowledged Infore me
this day of k , 20 .LHby
Michael Heissennirg
(Name of person acknowledging)
(Signature of Notary Public- ate of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
('
Commission No. Q112 "v S I) NOTARY PUBLIC
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this J2 day of- m�2014by
Michael Hsissenberg
(Name of person acknowledging)
Ot n I MR —
(Signature of Notary Public -State of Florida )
Personally Knowny OR Produced Identification
Type of Identification Produced
Commission No. LIN O, ,
_.
Commo GG25BUIO
Expires 911212022
snanon O'Shea
NOTARY PURL i,
COmmrl GG258038
—err.
va o/7L'
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