HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �I aI 1 5 Permit Number: 1 Sig 'Q�1
0
' RECEIVED SEP 021015
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 Residential
PERMIT APPLICATION FOR: Shutter
Y� -
PROPOSED IIVIPADVEIVIEN i OCATiON, »`.': a.. s �I��� L N
71
Address: 7400 S OCEAN DR 403
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM E-UNIT 403
Property Tax ID#: 3522-606-0014-000-3 Lot No.
Site Plan Name: Denisa L Rugani Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DE$CRIPTIONF WQRKpxhni . a,
Install 1 Roll up shutter
CQ�NSTRUCTISUNmINFORIII(ATION ry ", r�, . w
. . t. .
Additionalworkto a er orme under this permit—check a appy:
OHVAC Chas Tank Gas Piping 2 Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers OGenerator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1611.00 Utilities.Sewer Septic Building Height: 80'
OWNERfLESSEE � ' �� CONTRACTOR
Name Denisa L Rugani Name: Michael Heissenberg
Address:3901 Wild Lime LN Company: Expert Shutter Services
City: Coral Springs State:FL. Address: 1626 SW Biltmore St
Zip Code: 33065 Fax: City: Port St Lucie State:FL
Phone No.310-291-7072 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.
SUPPLEMENTALCONSTR,UCTION LIEN.LAUU'INFORMATIO.N °
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 tp obtain financing, consult with lender or an attorn y before
commencingwork or recor our N ice of Commencement.
_Signature of Owner/ essee/Agent Signature of Contractor/ (cense Holder-4
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF StLucle
The-t9irgoing instrument wag acknowledge fore me The forgoing instrument was acknowledged before me
this4no day of '� p.i- 20 by this-Oireoday of 6k 9+ ,20 i6—by
Michael Heissenb&g Michael Heissenberg
(Name of person acknowledging) (Name o person acknowledging)
(Signature of Notary Public-State of Florid V(Signature of Notary Public-State of Flo ' )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
t HEATHER VIZZO THEIR VIZZO
Commission No. �i�RYPUBLIC Commission No. t1�R1'
ESTATE OF FLORIDA c ONNARY PUBLIC
o a STATE OF FLORIDA
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Comm#FF176266
Revised 07/15/2014 'r�'rcE 19t• Expires 11/13/2018 sYJacE 1e10 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS