HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/21/15 Permit Number:
Q IECEIVE®
Building Permit Application 69C 2 1 2015
Planning and Development Services
Building and Code Regulation Division PERMITTIi-,
2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucie County.
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION
FOR: Shutter
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Address: 7380 S. Ocean Dr.#321 Jensen Beach, FI.34957
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 321 (OR 528-126)
Property Tax lD#: 3522-607-0017-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Lyon
Setbacks Front Back: Right Side: Left Side:
D I ES IPTI N WZ10 F, T � x $ r xfl �
2, „7,»..
Installation of one (1) accordion shutter.
A itiona wor to e e orme un ert ispermit—c eck a appy:
HVAC Gas Tank ❑Gas Piping �_Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers 1i Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 893.00 Utilities:Cn Sewer Septic Building Height: 70'
Name Roy Lyon Name: Michael Heissenberg
Address:34442 Jefferson#17 Company: Expert Shutter Services, Inc.
City: Harrison Twp State:MI Address: 1626 SW Biltmore St.
Zip Code: 48045 Fax: City: Port St Lucie State:Ml
Phone No.772-229-9241 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.
Sly PREM" N RM�TION
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 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 rRxA)kding your Noti of Commencement.
Signature of Owner/AgerAll1essee Signature of Contractor/Licens Holde
STATE OF FLORIDA � L �� / � Q STATE COUNTOY OFORIDA
COUNTY OF 7 (� )� L U ci�
The forgoing instr ent was ack o ledged before me The forgoing instr men was a knowledged before me
this��day of 20 by this3 1 J-day of / 20 y
re� C 1/?C4� I �*, <
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(Name of person acknowledging) (Name of person acknowledging)
aLj�) C'4- r�&
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(Signature of Notary Pu ic-State of Flor' (Signature of NotaryJPuic--State of Flor' )Personally Known OR Produced Identification Personally KnownOR Produced Identification
Type of Identification
(Produced I_ Type of Identification Produced
/
Commission No. t'1 Vi�o r,l eaUEATHER VIZZO Commission No. �l��� H� R VIZZO
e ° NOTARY PUBLIC c@ °� N TAR PUBLIC
STATE OF O DA o STATE OF FLORIDA
$Comm#FF176266 'd Comm#FF176266
Revised 07/15/2014sNaE1910 Expires 11/13/2016 s��CE191� Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS