HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: as Permit Number:
mss,,~' eRECEIVED JUN 2 2 2016
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)46271553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
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Address: 7420 S OCEAN DR 816
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM C-UNIT 816 AND UND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID#: 3522-604-0047-000-7 Lot No.
Site Plan Name: James E Davis Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIP.� � .r -- - �
Install 4 Accordion Shutters
CONSTRIJCTIQNINF®RMF�TION
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Additionalwork toe e orme under tispermit—checka t a appy:
❑HVAC E]Gas Tank ❑Gas Piping Ln Shutters ❑Windows/Doors
11 Electric ❑Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: SFt. of First Floor:
1
Cost of Construction:$ 7570.00 Utilities. _Sewer❑Septic Building Height: Jo
O�YNNIE�LEaSS'EE :_ ' " C®NTRACT®ft: fNO. ffi
Name James E Davis Name: Michael Heisenberg
Address: 7420 S OCEAN DR 816 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.248-921-3871 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: 1 tP X12
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLENIENT,4L CONSTR.U.CTION LIEN LAW INFORMATIONS r
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x—Not Applicable
Name: 'rilteco.lnc. Name:
Address: 6355 NW 36th St#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: _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 wp406)rpG9rdNur Notice of Commencement.
I_W/ov
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_Signature of ner Lessee/ ent Signature of Contractor icense
STATE OF FLORIDA � I /) iV STATE OF FLORIDA
COUNTY OF (� 1 COUNTY OF V`
Thorg,ojng instru ent was acknowledg9d before me The Arg�ot'{�g instrument was acknowledgXby
fore me
th' play of 20 V by th' ay of o /(8 Q 20
Michael Heissen4g Michel Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida VU (Signature of Notary Public-State of Flori )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced _ Type of Identification Produced
( l,, NOTARY PUBLIC ('1 f ptARYq HEATHER VIZZO
Commission No. �f lU�� e STATE OF FLORIDACommission No -t"1 lL� ��(. Wil!ftARY PUBLIC
W Comm#FF176266 a ESTATE OF FLORIDA
Revised 07/15/2014
!Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS