HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �hDate: Permit Number: 16b 7• 6
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
PRO POSED;IMPROVElVIE.,NT LOCATION: "MW
,,. . ..
Address: 7370 S OCEAN DR 611
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG B UNIT 611
Property Tax ID#: 3522-607-0085-000-4 Lot No.
Site Plan Name: Barry L Brown Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION:OF`WORK
Install 6 Accordion shutters
CONSTRUCTlxON INFORMATION <.
Additional work to be nertormed under this permit—c ec a appy:
HVAC Gas Tank []Gas Pipin_ Shutters ❑Windows/Doors
❑Electric ❑Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 6384.00 Utilities:Cn Sewer E]Septic Building Height: 80'
OWNER/LESSEE CQ'NTRACTOR:`
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Name Barry L Brown Name: Michael Heissenberg
Address: 14573 Cedar Hill Dr Company: Expert Shutter Services
City: Winter Garden State:FL Address: 1626 SW Biltmore St
Zip Code: 34787 Fax: City: Port St Lucie State:FL
Phone No.321-438-7346 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.
;SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATIONS
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Wo,WrA✓ 'T'l' k k- + Name:
Address: Io355 N w 36Sk S-A-c 4oS Address:
City: V,,.3,.% C�xv-sr ._q State: F'k. City: State:
Zip: 33►(oc Phone: 1530 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 mustbe recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consu"It with lender or an attorney before
commencing work or r cor our otice of Commencement.
S
_Signature of Owner/Lessee/Agen7
Signature of Contra ctor/LicensLK Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF StLucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Nkday of L L#Jr 20 !$by this I I�ay of 20 1�by
Michael Heissenb&g Michael Heissenberg
(Name of perso acknowledging) (Name of person icknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florid
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VIZZO tAXR V HEATHER VIZZO
Commission No. *AQRYPUBLIC Commission No. ENOTARY PUBLIC
aSTATE OF FLORIDAo STATE OF FLORIDA
11-1-Or FF4?6266
Revised 07/15/2014 OQE 1%X0 Expires 1111312018 s�NCE t9t� 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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