HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt - r
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:% �,� SCANNED Permit Num
'i MN_,�M
BY
St. Lucie County
Building Permit Applicatio
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
PERMIT APPLICATION FOR: Shutter
MAY 17 2019
Permitting Department
St`Lucie County, FL
PROPOSED IMP.ROVEMENT.LOCATIONi :.. , . z_..3iall
Address: 7370 S OCEAN DR 315
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG B UNIT 315
Property Tax ID #: 3522-607-0071-000-3
Site Plan Name:
Project Name: Doemer
Setbacks Front Back: X
DETAILED DESCRIPT[ON OFtWORK
Install 4 accordion shutters
Right Side: Left Side:
Lot No.
Block No.
CONSTRU4 N'INFORMATION:; rn �
..,ICSiVV BM%U,< cuunucu uivanTSIMPeinur—cnecxan apply:
EIHVAC _Gas Tank DGas Pi. - V Shutters ❑Windows/Doors
11 Electric ElPlumbing Sprinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3,967.00 Utilities: Sewer Septic Building Height:
;OWNER/LESSEE•
�, 4
,GONT.RACTOR
< � �__,:' � "�_
Name Raymond J Doemer
Name: Michael Heissenberg
Address:465 E Main ST
Company: Expert Shutter Services
City: Borden State: IN
Zip Code: 47106 Fax:
Phone No. 315-559-6759
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
91 VSSIUC m w113000uu11 a PCOVU ur more, a ncwnucu nonce or commencement is required.
I PP�.EM NTALD N$, RU,Gho "t1�#V3i,1Wti��[�RIVtATILiN
. ..s: ..._ .. a.
DESIGNER/ENGINEER: _Not Applicable
Name: Tiltecolne.
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1
MORTGAGE COMPANY: Not Applicable
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
Zip; 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorri /before
commencing work or -recording vouLfNntirp of cnmmpnrpmPnr
as
STATE OF FL0�1j�A STATE OF FLO qA / ,
COUNTY OF �`C-LU (�Q COUNTY OF �T • (,( 112l42
The for oing instrun},[T enNjwaas acknowledgedbefore me
this T- day of 1 20 l by
Michael Hsissenberg
(Name of person acknowledging)
b( V" —
(Signature of Notary Public- State of Florida )
Personally Known t/ OR Produced Identification
Type of Identification Produuced
Commission No. Sp (Seal)
_otnxrq., Shanon O'She
Revised 07/15/2014
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
INITIALS
The for oing instru ent was acknowledged before me
this day of O� 20 A by
Michael Hsissenberg
(Name of person acknowledging)
(Signature of Notary Pu0( State76' of Florida )
Personally Known V OR Produced Identification
Type of Identification Prrodducedd
JJCommission No. 0
%O" Shenon O'Shea
STATE OF FLORIDA
Carom# GG258038
SUPERVISOR I PLANS
REVIEW REVIEW
OF
Comm#
VEGETATION I SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW