HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Date: 1 15 _L�, Permit Number: 16 a°Z _y ho
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Building Permit Application FEB ®9 2016
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
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Address: 7440 S. Ocean Dr.#425A Jensen Beach, FI. 34957
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM A-UNIT 425 AND UND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID#: 3522-602-0014-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DEBT 40.19 DSCR PT1.ONpWC3RK ' x ' k .
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Installation of one (1) rolling shutter, crank operated.
COItiISTRUCTON INOR�IATIC►N
Additional work to be nertormed under this permit-check all appy:
HVAC Gas Tank []Gas Piping Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: $ 1,595.00 Utilities:Sewer Septic Building Height: 70'
OV1I.NERLESE �
CONTRAS
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Name Dasilva,Jose Name: Michael Heissenberg
Address:6300 SW 58 Ct Company: Expert Shutter Services, Inc.
City: Davie State:FL Address: 1626 S.W. Biltmore St.
Zip Code: 33314 Fax: City: Port St. Lucie State: FL
Phone No.954 680-7096 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:6355 N.W.36th St.Suite 305 Address:
City: Miami State: Fi_ 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 orcling yourAtice of Commencement.
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_Signature of Owner/ essee/Agent Si ture of Contractor/License Holde
STATE OF FLORIDA : �, 1 j STATE OF FLORIDA 45 1 \ L
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COUNTY OF l/t COUNTY OF �'J" VL
The for oing instr e t was acckgowledged before me The for oing instrume t was acknowledged before me
this Ueday of �I/k-ACN 20 )b by this 44r�'day of -Q IA 20 by
(Name of person acknowledging U (Name of person acknowledging)
&A&bA 9L"4'�, — —C�b_94�
(Signature of Notary` Public-State of Flo i• (Signature of Notary Pu ic-State of Flo,
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Personal/ Known V OR Produced Identification Personal/ Known 7 OR Produced Identification
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Type of Identification Produced Type of Identification Produced
p '1 (' �o HEATHER VIZZO
Commission N . + 1 tea 6r' i � HEATHER VIZZO Commission Nl�J 1`0 _��r,�,o� NOTP(I$t@A)BLIC
c NOTARY PUBLIC o c STATE OF FLORIDA
« STATE OFF
{" Comm#FF176266 ; E t91 Expires 11/13/2018
Revised 07/15/2014 '944 E'rA% Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS