HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ( pp
Date: Permit Number:
own
•
. RECEIVED
Building Permit Application
Planning and Development Services AUG 131 2015
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 PERMITTING
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X ResidentiM Lucie county, FL .
PERMIT APPLICATION FOR: Shutter
P,RQPOSED IMPROVEMENTLOCATION.:
Address: 7400 S OCEAN DR 603
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM E-UNIT 603
Property Tax ID#: 3522-606-0022-000-2 Lot No.
Site Plan Name: Armando A Cardona Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRfFTIO.,N,OF WORK
- �
Install 1 Accordion shutter
CON STRUCTIONANFORMATION.
Additional work to be erformed under this permit—cFFec-k all apply:
HVAC Gas Tank F]Gas Piping Shutters ❑Windows/Doors
Electric ❑Plumbing Sprinklers E Generator 0 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1658.00 Utilities:n Sewer OSeptic Building Height: 80'
01NNER/LESSEE: CONTRACTOR:'.
Name Armando A Cardona Name: Michael Heissenberg
Address:3021 SW 11th St Company: Expert Shutter Services
City: Miami State:FL Address: 1626 SW Biltmore St
Zip Code: 33135 Fax: City: Port St Lucie State:FL
Phone No.305-477-8024 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: expertpermits@aol.com
from the Owner listed above) State or County License: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
eSt'1PPLEMENTAL".CONSTRUCTION LFEiN LAW INFORMATION}.
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DESIGNER/ENGINEER: X_Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
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 thepermit 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 attorney before
commencing work or recording our Notice of Commencement.
'y s
_Signatur o Owner/Lessee/ gent Signature o n actor/License H Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instr was acknowledged before me The forgoing instrument was acknowledged before me
thi�day of ent t 20 1<by this �.+
day of Qt.ra'� 20119' by
Michael Heissenbirg Michael Heissenberg
(Name o erson knowle ging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of ri
Personally Known x OR Produced Identification Personally Know!7a
Lif7cP�
Type of Identification Produced Type of IdentificaE OF FLORIDA
Commission No. (Seal) Commission No. 41�76266
xpires 11/13/2018
HEATHER VI
Revised 07/15/2014 S r NOTARY PUBLIC
TATE OF FLORIDA
,rrrs2W Comm#FF 176266
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