HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAfi,LE FO MU TBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -7S- Permit Number: 1J�i
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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
F?ROPOSEDIMPROVEMENT LOCATION .. _ u} 4
Ary
Address: 7420 S OCEAN DR 414
.Legal Description: SAND DOLLAR VILLAS CONDOMINIUM C-UNIT 414
Property Tax ID#: 3522-604-0021-000-9 Lot No.
Site Plan Name: Wayne Arrington Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'
RK.
. �r
Install 1 Accordion Shutter
CONSTRUCTION INFORMATION
Additional work to e Dertormed under t ispermit—check all appy:
HVAC Gas Tank []Gas Piping �_Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 1967.00 Utilities:Sewer Septic Building Height. 80'
�tCIWNER/LESSEE „ 'CONTRACTOR
Name Alert Response Services Inc Name: Michael Heissenberg
Address:PO Box 4565 Company: Expert Shutter Services
City: Macon State:GA Address: 1626 SW Biltmore St
Zip Code: 31208 Fax: City: Port St Lucie State:FL
Phone No.478-747-2130 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.
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY:J X Not Applicable
Name: (ka✓ 1 '�►- '3� Name:
— Jadd.ress::.: 5. _ '''w. . . `' -- Address: .. -- - -- - -- -- -- --
City: State:- — City: State: = -
Zip: 3'31 Vie Phone: 3o5 u 11 - 0531 Zip: Phone:
-FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _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 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,-1-do=hereby-agree-that-I-will,-in-all=respects,-perform-the-work------- - --
_ -.Jn accordance with the approved plans,the Florida Building Codes and St.Lucie.County Amendments.
The following buildin&permit,applications are exempt from undergoing a.fullconcurrency 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. Notice of Commencement must be-recorded and.posted on the jobsite
before;the:.first inspecti you.intend to tain financing;consult with--lender or-an attorney before '
commencingwork or re r in ur Notipif of Commencement:
100,
v s
Signature of,Owner/Lessee/Agent_:. Signature of Contracto Lic e H der.
STATE OF FLORIDA".< STATE-OF FLORIDA`S
COUNTY OF stiucle COUNTY"OF St l.6ae
The f rgoing instrument was acknowledged before me The forgoing.instrument was acknowledged,before me-
th day of- t "20 !Xby thisday
of 20 (dam by
Michael,Heissenb&g Michael Heissenberg
{Na of per. n acknowledging) (Name of person acknowledging)
(Signature of Notary-Public-State of Flori (Signature of Notary Public-State of.Flor' )
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
_Type of Identification Produced _ Type of Identification Produced
HEATHER VIZZO
Commission No. t�R � ARYPUBLIC - Commission No. war �THER VI710
a =STATE OF FLORIDA vOTARY PUBLIC
STATE OF FLORIDA
Revised 07/15/2014 1015PExpires 11/13/2018 s, �e Comm#FF176266
E�o Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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