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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: • o�4' I Permit Number: ECEIVEl s i. Building Permit Applicatio Planning and Development Services OCT 2 k 2016 Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Widential PERMIT APPLICATION FOR: Shutter PI 00"o 0, (NIPR©DEME 1(T LOCATIGN' .. ... h Address: 7410 S OCEAN DR 806 Legal Description: SAND DOLLAR VILLAS CONDOMINIUM D-UNIT 806 AND UND PRO-RATA SHAREIN COMMON ELEMENTS Property Tax ID#: 3522-605-0043-000-2 Lot No. Site Plan Name: Harvey R Hallenberg Block No. Project Name: Setbacks Front Back: Right Side: Left Side: D 'AILEDI DESCRIPTION OF WORK ' Install 4 Accordion Shutters CONSTRUCT(QN INFORIIlATIOIV E { itionaI work toa er orme under this permit—check a appy: HVAC Ei Gas Tank ❑Gas Piping F-VShutters ❑Windows/Doors ❑Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 3344.00 Utilities: _Sewer O Septic Building Height: 80 C}1NNER/LESSEE C�NTRACTtJR Name Harvey R Hallenberg Name: Michael Heissenberg Address:7410 S OCEAN DR 806 Company: Expert Shutters City: Jensen Beach State:FL Address: 668 SW Whitmore Zip Code: 34957 Fax: City: Port St Lucie State:FL Phone No.561-215-0513 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. SIJPPLEMEN`CAL CONSTRUCTION LIEN LAW INFjQRMATIQN.t DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _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 t9 obtain financing, consult with lender or an attorne before commencing work or recordiog your No ce of Commencement. s _Signature of Owner essee/Agent \J Signature of Contrac or/License Hold' r STATE OF FLSTATEOFFL COUNTY OF ORIDA 5-�, LI ,/' COUNTY OF ORIDA The rgoing instry,eTt was ck owledged efore me The forgoing instrument was acknowledged before me tl tbay of 0 C�� !' 20 by this�'Pfay of ��f 20 11- 29t, by Michael Heissen4g Michael Heissenberg (N@Re of person acknowledging) (Name of person acknowledging) LV V (Signature of Notary 7 lc-State of Flo i a (Signature of Nota7Pu c-State of Flo i a Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced HEATHER VIZI �ogpRY4 FEATHER VIZZO Commission N ���: NOTARY PUBLI Commission No. o.; a OTARY PUBLIC STATE OF FLOR DA o r STATE OF FLORIDA VA - a Comm#FF176266 Comm#FF176266 Revised 07/15/2014 g4dEis Expires 11/13/2018 sYlvCEN1% Expires 11/13/2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS