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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 r Date: aa� ,6 Permit Number: `�n�6"� C5 RECEI`;7-D JUN 22 7016 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 PR �P® © �MPRVOI � E;NT L ..O. Nk s�M � Address: 7370 S OCEAN DR 816 Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG B UNIT 816 Property Tax ID#: 3522-607-0102-000-0 Lot No. Site Plan Name: David L Landers Block No. Project Name: Setbacks Front Back: Right Side: Left Side: ®ETAIILE®3®ESCRdPTI®N OF WORKS � �' , wr ��� Install 1 z.,%%--U P, Shutter CONS�TRU�C�TION INFORATION Additionalwork to be ertormea under tispermit—check all a appy: HVAC Gas Tank 0Gas Piping _Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers E Generator 1:1 Roof Total Sq. Ft of Construction:989.00 S Ft.of First Floor: Cost of Construction:$ Utilities: _Sewer[]Septic Building Height: � 01NNpERLESS$EElft C®,Nl'RACT®R Name David L Landers Name: Michael Heisenberg Address: 7370 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.615-289-1665 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: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUP�PLEIUIfENTALkCOrNSTRUCTIQN LIEN LAW INFORMATION .. kY { . i =fi DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable Name: 'riltecojnc. Name: Ad d ress: 6355 NW 36th St#305 Address: City: Virginia Gardens State: FL City: State: Zip: 33166 Phone: 305-671-1530 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 work or or our NoOe of Commencement. Off s _Signature of Owner/Lessee/Agent Signature of Contractor License 061er ` STATE OF FLORIDA � Lja( 1 STATE OF FLORIDA 'COUNTY OF v COUNTY OF The forgoing instruLment was acknowledged/before me The forgoing instrument was acknowledged before me thi��Iay of J I A M 20 Lkaby thi , l ay of \�c l�(_ 20 by Michael Heissen4g Michel Heissenberg (Name of person acknowledging) (Name of person acknowledging) a�L� SV/ q4AIAk Y ` (Signature of Notary Public-State of Florida (Signature of Notary Public-State&gda) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced I - ��p HEATHER VI ZZO r( '1 o~<pRY4. HEATHER VIZZO Commission No �� o I) Commission IVGT`i / o &AQRY PUBLIC ��NOTARY PUBLIC o +—STATE OF FLORID o `" E2STATE OF FLORIDA Cm#I-F 17 6266 mm#121717-6266 �s�Mc€����� Expires 11/13!2018 ��P✓cetg�� Expires 11/13/2018 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS