HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE`INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a
Date: 1 5 Permit Number: , .5 d 1 a 1
i' RECE14'�D SEP 0 9`1015
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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
RR'OPOSEDIMPROVEMENT,LOCATION; .
Address: 7430 S OCEAN DR 218
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM B- UNIT 218
Property Tax ID#: 3522-603-0007-000-2 Lot No.
Site Plan Name: Matthew P Sykes Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:" ... '' a
Install 1 Accordion shutter
CONSTRUCTION INFORMATION
Acid itiona I work toa er orme un er this permit—check a apply:
OHVAC Ei Gas Tank []Gas Piping Shutters 11 Windows/Doors
Electric ❑ Plumbing Sprinklers E Generator ❑ Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1976.00 Utilities:Sewer O Septic Building Height: 80'
OWNErR/LESSEE ON
��.. ,
Name Matthew P Sykes Name: Michael Heissenberg
Address:1630 SE Shelburnie Way Company: Expert Shutter Services
City: Port St Lucie State:FL Address: 1626 SW Biltmore St
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No.772-380-9359 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFOR'MATION:" w"°
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 attorne before
commencing wor ecordin r Notice of Commencement.
_Signature of Owner/Lessee/Agent Signature of Contrac icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF SiLucie
The forgoing instrument was acknowledged b fore me The for IIoi'ng instrument was acknowledged before me
this day of_ —gtrQ4' 20 t' by this ay of -'�p4- 20 16-by
Michael Heissenb&g Michael Heissenberg
(Nam f person ackno ledging) (Name of person ac nowledging)
'r '�1 �;
(Signature of Notary Public-State of Florida y(Signature of Notary Public-Statef F or' )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VIZZO THER VIZZO
Commission No. `�' (bEOARYPUBLIC Commission No. e
STATE OF FLORIDA TARY PUBLIC
STATE OF FLORIDA
Expires 11/13/2018 om
m#"11620
Revised 07/15/2014 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS