HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO T BE COMPLETED FOR APPLICA ION TO BE ACCEPTED a
Date: C;19-�tP Permit Number:
Building Permit Application RECEIVED
Planning and Development Services SEP 2 9 2016
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
PROPO5EQ ItUIPROUEMENT LOCATION " '
Address: 7440 S OCEAN DR 826
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM A-UNIT 826 AND UND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID#: 3522-602-0031-000-6 Lot No.
Site Plan Name: Victoria E Villalba Block No.
Project Name:
Setbacks Front Back: Right Sid : Left Side:
D>ETAILED DESCRiP`fION OF WO_ RK ft
3j
Install 2 Accordion Shutters
V
�G(OISTRUCTIQN IN`FORMATfON ..
itiona wor to e er orme under t is permit—ch ec a appy:
E1HVAC E]Gas Tank []Gas Piping �_Shutters ❑Windows/Doors
11 Electric E]PlumbingSprinklers ❑Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1395.00 Utili ies:Cn Sewer[]Septic Building Height: 80'
Name Victoria E Villalba Name: Michael Heissenberg
Address:7440 S OCEAN DR 826 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.786-797-4473 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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRrUCTIaN�L1ENgLA111t 1N RMATlaN �'
2
DESIGNER/ENGINEER: _Not Applicable M MORTGAGE COMPANY: _Not Applicable
Name: Walter-rillit 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 perm t will authorize the-permit holder to build the subject structure
which is in conflict with any applicable Home Owners Associatior rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association an I 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 undE rgoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,•walls,signs,screeii rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice f 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 togbtain fina ting, consult with lender an attorne/� ore
commencing work or or our Not' of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holde
STATE OF FLORIDA J. STATE OF FLORIDA ` } r f I%
COUNTY OF I "� COUNTY OF `J-f' ut
The f rng instrument was acl nowledge�f�efore me The f rgo1i,ng instrument was acknowledged before me
thi _day of QM 20 Ljoby tha�lay of A? � 20 L by
Michael Heissenb�g Michael Heissenberg
(Na a of person acknowledging) (Name of person acknowledging)
(Signature of Notary P blic-State of FI r' (Signature of Notary Publ' -State of F r'
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced ZW Type of Identification Produced
C12—
,NR fA HEA 1 ��%y
HEATHER VIZZO
Commission tl �l¢}TARY PUBLIC Commission (psp� I( �Y PUBLIC
STATE OF FLORID s �sTATE OF FLORIDA
�Cmm#FF176266 OF ' o
Revised 07/15/2014 s�rref is�`s Expires 11113/2018x"4401 i'%V Expires 1111312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS