HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' 01°�`,z Permit Number:
• , �I� RECEIV'_:D SDP 2 9 2016
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
RROPOSEDx11VIPROVEM NT LOCAT10 _ R
Address: 7370 S OCEAN DR 514
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG B UNIT 514
Property Tax lD#: 3522-607-0082-000-3 Lot No.
Site Plan Name: Olga B Torres Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DE5CR( ",T-ION,OF WORK
a
Install 3 Accordion Shutters & 1 Roll-Up Shutter
CONSTRUCTtONINFORMATtON
Additional work to e—e orme under this permit–check a apply:
HVAC be
Tank E:1Gas Piping Shutters QWindows Doors
Electric Plumbing QSprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4273.00 Utilities: Sewer QSeptic Building Height: 80'
O;1iVNEFt/L'ESS'EE 'CONTRACTOR
Name Olga B Torres Name: Michael Heissenberg
Address:7370 S OCEAN DR 514 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.561-261-0689 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 CONSTRUCTIQN L1EN LAW INFORMATION My
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: XX Not Applicable
Name: walterTillit Name:
Address:6355 NW 36th St Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: 305-1371-1530 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 t obtain financing, consult with lender or an attorneybe
commencing wor r r c ding your N ce of Commencement.
s
_Signature of Owner essee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA -54_ STATE OF FLORIDA
COUNTY OF l��C.I -e COUNTY OF C 1 2
The for ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
tF i �day of dA M he/ , 201(G by this V ay of Q, 20 110 by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
,40bA�-Q CV CVVXttW
`�VAWb
(Signature of Notary P lic-State of Flori (Signature of Notary Pu Ic-State FI )
Personally Known \7 OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
�ItL�?Yq HEATHER VIZ-7o
�p
Commission I �ss
���� �To�Ygs (g��THER VI710 Commission No. 1��a10 ID HEATHER NOTARY PUBLIC
�' zr, U, NOTARY PUBLIC STATE OF FLORID'
i�= ATE OF FLORIDA
Comm#FF176266 Expires 11/13/201
Revised 07/15/2014 Expires 11I13I2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS