HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr ,
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: MOU151(p
BY
n;
St. Lucie County
Building Permit Application RECErveo
Planning and Development Services JUN. 2.j 7nXq
Building and Code Regulation Division Permitting OePartrnent
2300 Virginia Avenue, Fort Pierce FL 34982 s-t. LLfc/e county
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPRbVEME'NT' ILGC4�TIOW-.""
Address: 7440 S OCEAN DR (F-9(f
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM A- UNIT 623 AND LIND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID #: 3522-602-002' j - Lot No.
Site Plan Name: Block No.
Project Name: Von Plank
Setbacks Front Back:_ Right Side: X Left Side:
install 2 accordion shutters
CONSTRUCTIOWINFORMATIOW,
AdditionalworKtoDenerrormed under tnis permit - check all apply:
F-1H D Gas Tank E]Gas Piping Mutters E]Windows/Doors
[I Electric El Plumbing []Sprinklers 1:1 Generator 11 Roof = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 7711.00
S Ft of First Floor:
Utilities ."n Sewer OSeptic
Building Height:
, ri�-
CCINT RAC-TpR
Name Johanna Gill Von Plank (LF EST)
Name: Michael Heissenberg
Address: 229 Four Mile Point RD
Company: Expert Shutter Services
City: Athens State: NY
Zip Code: 12015 Fax:
Phone No.
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: Taiecomc.
Address: 6355 NW 36th St Sufte 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip:
Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
_Not Applicable
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 inspec 'on. If you intend o obtain financing, consult with IendQr Qr ap-Worney before
as
STATE OF FLORIDA STATE OF FLORIDA ` 1-i /� I
COUNTY OF . Luc - COUNTY OF J1
Th orgoing instrument was acknowledged before me
th day of
T\AI�.Si 20 f�by
Michael Heissenb&g
(Name of person
Cf
(Signature
Personally Known v OR Produced Identification
Type of Identification Produced
Commission NcCAG (Span
Public State
Revised 07/15/2014
The forgoing instrument was acknowledged before me
thipt$_dayof JVAII .20 19 by
Michael Hsissenberg
(Name of person acknowledging ))
guz)
V
(Signature of Notary Pubjic- State of Flo
Personally Known ✓/ OR Produced Identification
Type of Identification Produced
;4Wission No a ko (DS3(Seal)
202653
My Comrnifalon GG 262653
Expire! 11/1312022
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