HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/18/15 Permit Number: a
RECEIV ED
Building Permit Application NOV 2 0 2015
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
FRiJP05ED 11 'R01/EMENTI:OCATI l r y._ .f"' . .
Address: 7410 S Ocean DR 508 Jensen Beach, FL 34957
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM D-UNIT 508 AND UND PRO-RATA SHAREIN COMMON ELEMENTS(OR 3625-904)
Property Tax ID#: 3522-605-0027-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
a
DILED DE C•RlPTIC}N OE WORK -" r
ETA
Installation of three (3) accordion shutters.
CC?NT,RUCTlON 1NFORMATlON E � �
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A itiona wor to be nertormed under this permit—check a11 appy:
HVAC Gas Tank E]Gas Piping Shutters O Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1,420.00 Utilities:cnSewer Septic Building Height:
OIIUNER/LESSk CONTRACTOR _ , ff ,'
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Name Katherine A Lind &Jonathan H Harris Name: Michael Heissenberg
Address:7410 S Ocean DR Apt 508D Company: Expert Shutter Services, Inc.
City: Jensen State:FL Address: 1626 S.W. Biltmore St.
Zip Code: 34957 Fax: City: Port St. Lucie State:FL
Phone No.410-939-0801 Zip Code: 34984 Fax: 772-871-0990
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: callexpert@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.
5'U'PPI:EIVIENT [.CONSTRUCTION LIEN LAW INFORMATIONfg
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DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tiitecojnc. Name:
Address:6355 N.W.36th St.Suite 305 Address:
City: Miami State: FL City: State:
Zip: 33166 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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, 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 attorney before
commencing work or recordi our NoWe e of Commencement. 62
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holde
STATE OF FLORIDA STATE OF FLORIDA � ( j
COUNTY OF � �. Lu C� COUNTY OF L�1
The f°�r in instr'u^m n as ckno led ed before me The forr .ng instrument was,acknowledged before me
this"day ofyv���/, 20 L5-by this � U�ay of�dU�(V)WV ,20 �� by
cni cv�' �� �s�✓�1 r
(Name of person acknowledging) (Name of person acknowledging)
cw&_�u azi2� chakjllr�
V '
(Signature of Notary Py(blic-State of FI r' a (Signature of Notary)Publ'c-State of i
Personally Known J OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced / Type of Identification lProduced I,,
Commission No. I I�HHER VIZZO Commission No. U u�(oD' tWr (SggOkTHER VIZZO
NOTARY PUBLIC NOTA,-,:%-?UBLIC
FLORIDAc o
Revised 07/15/2014 FF176266 �"' /o
Comm#x'•''176266
S-we19llExpires 11/13/2018 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS