HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/5/16 Permit Number:
{ - - RECEIVED MAY 17 7016
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Building Permit Application
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
PROPOSED IMPROVEMENTLOCATIQN `
Address: 7420 S OCEAN DR 511
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM C-UNIT 511 AND UND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID#: 3522-604-0024-000-0 Lot No.
Site Plan Name: Edelio Malo Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
=11 ®ESCRIPTIOIV� FWORKr�
11
Install 1 Accordion Shutter
-
itiona wor to e e Orme un er t is permit-c ec a - appy: >.
HVAC �Gas Tank ❑Gas Piping �_Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 6261.00 Utilities:0 Sewer 0Septic Building Height:
C►WN�`ERLESSEE t � ` ' fes "" C®IUTRACT01R = 5
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Name Edelio Malo Name: Michael Heissenberg
Address:9136 Paragon WAY Company: Expert Shutter
City: Boynton Beach State:FL Address: 1626 SW Biltmore St
Zip Code: 33472 Fax: City: Port St Lucie State:FL
Phone No.561-702-9891 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: -0),
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Sl1PPLEMENTAL CONSTRUCTION LIEN LA111/ I,NFORMATION: io
fi .4
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X_Not Applicable
Name: WalterTiiiitJr. Name:
Address:6355 NW 36th St Ste 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 thepermit 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 wor recordingVour Notice of Commencement.
s
_Signature of Owner/Lessee/ gent Signature of Contractor icense old
STATE OF FLORIDAS-� C(� STATE OF FL
COUNTY OFORIDA S j: LLAC I
COUNTY OF 'P-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this l6Ld' ay of Q 1 . 20 ]�O by this Lb 'day of (Y)a �- 20 �by
CA
(Name of person acknowledging) (Name of person acknowledging)
C� ev
(Signature of NotaryPu iic-State of i (Signature of Notary Pu}Slic-Sta o lorida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No 7 G /Dl- J_y4 HEATHER VIZZO (-(^I. (,Da � S,P_ E THEIR VIZZO
a OTARY PUBLIC Commission Nott a0 O� �RYPUBLIC
gSTATE OF FLORIDA ° =�STATE OF FLORIDA
o ,�
Revised 07/15/2014 'rWNW� Expires 11/13/2018 14CE sF® Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS