HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Numb
--- BY
St Lucie County
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
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101
R E CEE, "I TV IPEM D-I
MAY 17 2019
Permitting Department
. St..L.ucie County, FL
I PERMIT APPLICATION FOR: Shutter I
FRQV� ."V" 2
Address: 7420 S OCEAN DR 411
1 11 Legal Description: SAND DOLLAR VILLAS CONDOMINIUM C- UNIT 411 AND LIND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID #: 3522-604-0018-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Sax-d-, iv_
Setbacks Front Back: _ Right Side: Left Side
Install 1 roll shutter
=RLIC,,TtON,,IN FORM TIO,N:
2121
war Klorleperrormed
under this permit— check all
that apply:
11HV)
ElGas Tank []Gas Piping
Shutters
oWindows/Doors
11 Electric
1:1 Plumbing []Sprinklers
Generator
E]Roof = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 848.00
S Ft of First Floor:
Utilities"Ll Sewer 0Septic
Building Height:
`�VCONTIRAqf
Name Nilda Sardina
Name: Michael Heissenberg
Address: 1801 Barbados RD
Company: Expert Shutter Services
City: West Palm Beach State: FL
Zip Code: 33406 Fax:
Phone No. 561-310-0147
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
14 VONUC U1 LU11bL1ULL1U11 ib.?zauv or more, d KCLUKUtU Notice Or commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INI:ORMATION.
DESIGNER/ENGINEER:
plicable
MORTGAGE COMPANY:
Not Applicable
Name: Tiltecolnc.
Name:
ENot
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
City:
State:
Zip:33,ss phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY:
Applicable
Name:
Name:
_Not
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 integd to obtain financing, consult with lendefiwan attorneybefore
ci commenng work o ec � your otce of Commencement. //
f/
Signature of Owner/Les ee/Contractor as A t for Ov�n�' Jo ignature of Ci
coZu. N
STATE OF FLORtpA o STATE OF Fl
COUNTY OF ` _ t ¢ COUNTY OF
The forgoing instrument was acknowledg before me
this 7 day of � 20�by
Michael Heissenbilg v
�rl
(Name of person
�acknowledging)
of
(Signature of Notary Public -State of Florida )
Personally Known VubOR Produced Identification
Type of Identification Produced
Commission Nt (Seal)
..e.._ Shanon O'Shea
The forgoing instrument was acknowledged before me
this L% day of MOY , 20 )�_ by
Michael Hsissenberg
(Name of person acknowledging)
4QI_ll
(Signature of Notary Public- State of Florida )
Personally Known V__ OR Produced Identification _
Type of Identification Produced
Commission No 5 JOO-
(Seal)
�dgUo.. Shanon
0
VLO
Revised 07/15/2014 STATE OF FLORIDA STATE OF FLOR
Comm# GG258038 Comm# GG2580
0
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