HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) )
Date: 12/8/15 Permit Number: ��/ , '-0
RECEIVED
Building Permit Application DEC /9 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
Address: 7370 S OCEAN DR 811,JENSEN BCH, FL 34957
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG B UNIT 811 (OR 1252-2549;3386-262;3511-230)
Property Tax ID#: 3522-607-0097-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Installation of one (1) rolling shutter.
Additional work toe e orme under this permit—check a appy:
HVAC 11 Gas Tank E]Gas Piping fvl/ Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator 11 Roof
Total Sq. Ft of Construction: SIC Ft.of First Floor:
Cost of Construction:$.1,584.00 Utilities: _SewerSeptic Building Height: 70'
Name Edmund F LaPlume(TR)Bonnie M Hartrey-LaPlume(TR) Name: Michael Heissenberg
Address:2652 SE Emmett Rd Company: Expert Shutter Services, Inc.
City: Port St Lucie State:FL Address: 1626 SW Biltmore St.
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No.772-337-3357 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.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tiiteco,inc. Name:
Address: Address:
City: Miami State: FL City: State:
Zip: 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 Countyy 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 o[,cerording your Wtice of Commencement.
Signa ure of Owner Agent/Lessee Signature of Contr for/License Hol er
STATE OF FLORIDA 4,�� L] L
STATE OF FLORIDA 1.
COUNTY OF I COUNTY OF 7 C 1 e
Theo oing instrvment was cknowledged before me The orging instr ent was cknowledged before me
this — day of IX M 1 20 1S by this day of f1rM Q� 20_15 by
(�) JI'chatl HR_1'5s_Pnbe,1J 'ko -
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NotaryPu lic-Sta f orida) (Signature of Notary Pu lic-State I da
Y )
Personal) Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VIZZO
Commission No. //C1 aAOTCommission N X d/
r G &I"THER VIZZO
ARY PUBLIC e
STATE OF FLORIDA NOTARY PUBLIC
STATE OF El ORIDA
CUTM"17 6266
VEITA* Expires 11/13/2018 Comm#FF176266
Revised 07/15/2014 p E14 Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS