HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:I6 .1a vs ' Permit Number: 15 Q
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Building Perm iiAPPlication
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
P tOPO D lM,P11"0 "'UEIVT LCICATlC}
Address: 7430 S Ocean Dr Apt 8718
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM B-UNIT 718
Property Tax ID#: 3522-603-0037-000-1 Lot No.
Site Plan Name: Thomas A Smith Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Install 1 Accordion shutter
CCII�ISTf��1CTIaN'INFORIVIATI{?N fi �,: F 'aj� , _���z
Additional work to be errormea under this permit—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:$ 1825.00 Utilities:Cn Sewer O Septic Building Height: 80'
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Name Thomas A Smith Name: Michael Heissenberg
Address:7430 S Ocean Dr Apt 8718 Company: Expert Shutter Services
City: Jensen Beach State:FL Address: 1626 SW Biltmore St
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.972-977-0054 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$2500 or more,a RECORDED Notice of Commencement is required.
F7ADESIGNER/ENGINEER:
DESIG�NER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:_(,%At+jw J ;Jr Name:
dri z.
.-Address: to
-Si- 5..4,e -dw< Address:
City: State: City: State:
Zip:. 1btVy Phone: 3*5 - i -t,931 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit Will authorize the permit holder to build the subject structure
which isinconflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
-4n--consideration-of-the-granting-of-this-reouested-permit7-1.do-hereby.agfee-that4-w!1174n.-all-respect!;Tperform-the-wark--
—
in accordance with thd.approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building:permit applications are exempt from undergoing a full.concurrency review:room additions,
accessory structures,-swimming pools,fences,walls,.signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER-.Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.ANotice-of Commencement must be recorded and posted on the jobsite
before the.first inspectipff.-if you intend to qbtain financing,consult with lender or-an attorney before
-commencing work-or repor$in"ur NotVof Commencement.
Owner/Lepe6JA Signature'of Contractollf/Lice4kdHolde
ggnt .......
STATE OFAORIDA STATE OF FLORIDA
COUNTY Of.stwde COUNTY OFmorae -
The fnrp,.oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thil&4Lkday of 0 a-Koyez.- :20 iSby this IZlvday of 0 20 by
Michael Hi.nb,49 MiMeef Heissenbug
(Na of per n acknowledging (Name of person acknowledging
(Signature of Notary Public-State of Florio4d'y (Signature of Notary Public-State of Flo rdW)
L.� /V
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
...Type of Identification Produced Type of Identification Produced
Commission No. 11% HEATHER VIZZO Commission No. SM:TERYIZZ0.
J-s14&ARY PUBLIC UC
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STATE OF FLORIDA STATE OF FLORIDA
PF176M lr-�Akr Conun#FFI-1620
Revised 07/15 014 Will Expires 11/1312018 AM11W Expires 11/13/2018
11 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE .
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE 1COMPLETE
INITIALS