HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: z, — )�O_ SCANNED IL -10
PermitNumber: tCk(D�-W'nr'
St. Lucie County OCIVIV
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Building Permit Application VePBTtMeV%t
Planning and Development Services eTM1tt1rg C
Building and Code Regulation Division S'E;
2300 Virginia Avenue, Fort Pierce FL 349S2
Phone: (772)462-1553 Fax:(772)462-1578 Commercial X Residential
I PERMIT APPLICATION FOR: Shutter III
Address: 7430 S. Ocean Dr. #418
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM B- UNIT 418 AND LIND PRO-RATA SHAREIN
COMMON ELEMENTS (OR 1152-1617)
Property Tax ID#: 3522-603-0019-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Gebhard
Setbacks Front Back: X Right Side: Left Side:
install I accordion shutter
Iditional work to bffrtormea underth permit—c
0HVAC Gas Tank E]Gas Piping
[]Electric Plumbing []Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ $2,207.00
a
Shutters Windows/Doors
Generator Roof = Roof pitch
S Ft of First Floor:
Utilities: Sewer E]Septic
Building Height:
'O.W q
NE#/Lo
T
ON MCTOR�
Name Gebhard, Harold
Name: Michael Heissenberg
Address: 363 N_ Wellwood Ave
Company: Expert Shutter Services
City: Lindenhurst State: NY
Zip Code: 11757 Fax:
Phone No. 772-285-8080
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 Holderon nextpage (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
IT vaiue Or construction is 4,.zbuu or more, 2 KtLUKUtU Notice Or LOMMenCement is required.
Op ICT IVIATION�
DESIGN ER/ENGI NEER:
Name: Tiltecolnc.
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address: 6355NW36thStSufte305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
—State:
FEE SIMPLE TITLE HOLDER: X
Name:
NotApplicable
BONDING COMPANY:
Name:
—NotApplicable
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or angcovenants 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 add
itions,
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 a torney before
commencinE workermicca-ding vour Notice of Commencement. P
Signature of Uwner/Lessee/Contractor,�Ment for Owner Signature of Contractor/Licen!
STATE OF FLORIDA LIAC)' STATE OF FLORIDA '5
COUNTY OF T, COUNTY OF -L Ut Cl�
The fqtng instrkiment was acknowledged before me
this, -day of ffiA4 1,t;:S+ 20 L�Lby
J
Michael Heissenb&g
( Name of, Person Knowledging)
(Signature of Notary Puolic- State of Florida(V L/
Personally Known I
Type of Identification
ission No.
;L iz�L(o
Revised
OR Produced Identification
The f Ing linstruArient was ac�nowleclgecl before me
thisgTday of MA \,0-f 20 Lq_ by
Michael Hsissenberg
(Name of person acknowledging)
1� (A&W
(Signature of Notary Pu lic- State of Flo &a #
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
blic State of Florida
Vizzo 1C'nG a (0 ;1 kO
ary ll?Wi? thate of Florida
ather Vizzo
Commission GG 262653
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