HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (7i2)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED�NIPRQI/ENENT,LOCATIC3N
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Address: 7,380 S OCEAN DR 622
Legal Des crIiption: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 622
Property Tax ID#.. 3522-607-0036-000-6 Lot No.
Site Plan Name: David G Duhaime Block No.
Project Name-
Setbacks
a I e :
Setbacks Front Back: Right Side: Left Side:
�.�Y iii 7770 bEA� ED DE �RiPI'ION OFsWORK r
Install 1 Accordion Shutter
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C NSTRUCTl N INFC3RlUiATtON
Additional work to be nertormea under this permit-check❑ ❑_ a apply:
HVIGas Tank Qv
Windows/Door
s❑Gas Pi ing _ShuttersdC —1 Roof
Generator
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 993.00 Utilities:Sewer Septic Building Height: 80'
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C? x E L SS EPi
CONl'RACTt3R
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Name David G Duhaime Name: Michael Heissenberg
Address:7380 S OCEAN DR 622Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code!! 34957 Fax: City: Port St Lucie State:FL
Phone Nd.772-341-6495 Zip Code: 34984 Fax:
E-Mail: I 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.
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SIPPLEM'fNT,�L'C{7NRUCTION IIE.N lAW INFRMATiC1N.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: walterTillit Name:
Address:6355 NW 36th St Address:
City; Virginia Gardens State: FL City: State:
Zip: 33168 I Phone: 305-871-1530 Zip: Phone:
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FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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I certify thatl no work or installation has commenced prior to the issuance of a permit.
St.Lucie Coulnty 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 sti uctures,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
improvenr Lents 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 b e
commencing work or our Noti of Commencement.
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_Signature of Owner/Lessee/Agent # Signature of Contractor/License Holder
STATE OF,FLORIDA � �� C STATE OF FLORIDA 5�1 Z�U_Ll��
COUNTY OF COUNTY OF
Th forcing instrument was acknowledged�efore me The forgoing instrument was acknowledged before me
this
day of 20 bby this day of �L l �L) 20 L by
Michael Heissei bkg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
UkAA,� "71vvx13
(Signature'of Notary Public-State of HOW (Signature of Notary Public-State of Florid
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
EATHER VIZZO �'(' 11 ATHER VIZZO
Commission 0 ";- .
al� Commission Not}T V�10 �;e.�•� e�
o OTARY PUBLIC o�NOTARY PUBLIC
o `'STATE OF FLORID y
91 a .'y ,. dSTATE OF FLORID
J om W `" Comm#FF176266
Revised 07/15/2014 �s�NCE19�� Expires 11!13/2018 s��✓CE19►� Expires 11/13/2015
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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