HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: 12/21/15 Permit Number1�4_j 'I:
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Building Permit Application ®Et 1 Z, 2®15
Planning and Development Services PIE�RNII n,IN
Building and Code Regulation Division St.Lucie Coin FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION F}wOR::r Sh�utte[r
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Address: 7420 S. Ocean Dr.,#C712 Jensen Beach, FL 34957
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM C-UNIT 712 AND UND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID#: 3522-604-0037-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Trinder
Setbacks Front Back: Right Side: Left Side:
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Installation of one (1) rolling shutter (manual).
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appy:
HVAC Gas Tank Gas
❑ Piping yShutters
a Windows/Doors
11 Electric Plumbing Sprinklers Ienerator
❑ Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 1,651.00 Utilities:'nSewer Septic Building Height: 70'
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Name Glenn F Trinder III (TR) Name: Michael Heissenberg
Address:255 Parsons Rd Company: Expert Shutter Services, Inc.
City: Hannibal State:NY Address: 1626 SW Biltmore St.
Zip Code: 13074 Fax: City: Port St Lucie State:NY
Phone No.315-532-1363 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.
IGN
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tilteco.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 recording ou Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE
COUNTY OF FLORIDA l ) , A� ('� STATE COUNTYOF
OF FLORIDA
The or5ng instr nt was acknowledged me The forgoing insti-ppent was a kgnowled ed before me
thi ay of -z-20 this5day of4. . 20
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Publi -State of FI ri (Signature of Notary Publi -State of Flo d )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.��" i ��0� tPRYs ,Y?TARYPUBLIC Commission No. 7`��� �ota�Y�� NOTARYPUBLIC
d _+S ATE OF FLORIDAA.
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STATE OF FLORID
�' Comm#FF176266 Comm#FF176266
E 1®1' Expires 11/13/2018 9HCE WN Expires 11/13/20
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS