HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application JUL 07 2016
Planning and Development Services
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Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 St Lucie Cou ty,FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 7380 S OCEAN DR 618
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 618
Property Tax ID#: 3522-607-0032-000-8 Lot No.
Site Plan Name: Amy MOssel Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Install 3 Accordion & 1 Roll up Shutters
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Additionalworto e e oRrme Ac under
r t is permit—check.a app y:
❑HVAC be
Tank Gas Piping �_ Windows/Doors
11 P g Shutters ❑
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4189.00 Utilities: _Sewer Septic Building Height: 130
Q1�4JNER/LES4 CON7"RATR,
Name Amy Mossel Name: Michael Heissenberg
Address:7380 S OCEAN DR 618 Company: Expert Shutters
city: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.616-403-1482 Zip Code: 34984 Fax:
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
11 value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEM�N�"AL,CONST� C�1'10N LIEN lA1N tN�ORMATIC?N °�� `�` , � � � ,„ � �z_
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 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 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 cling youVAotice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contrac /Licens Holder
STATE OF FLORIDA 1 J U C I-C STATE OF COUNTY OF FLORIDA 1 u C I��
COUNTY OF -¢- L� C.�
The for�oing instrument was acknowledged before me The fgrgoing instrument was acknowledged before me
this=day of _" I W , 20 �by thlsDJ=hh day of _UI ) �) 20 L by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Uclao (Signature of Notary Public-State of F id
Personally Known y OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
I� �� 90a I r HEATHER VIZI -F)1 �a Ip o` Pq i�THER VIZZO
Commission I oea NOTARY PUBLIC Commission No. j��MARY PUBLIC
o STATE OF FLORI A o —STATE OF FLORIDA
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Revised 07/15/2014 syr"W"b Expires 11/13/2018 "�"'E 191 Expires 1117
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS