HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Date: n Permit Number: —0
RECEIVED
Building Permit Application DEC 0 9 2016
Planning and Development Services
Building and Code Regulation Division Lucie PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED'IMPROVEMENT LOCATION,
Address: 7380 S OCEAN DR 417
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 417
Property Tax ID#: 3522-607-0019-000-1 Lot No.
Site Plan Name: Greg G VanDeweel Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
4
Install 1 Accordion Shutter
CONSTRUCTI'ON INFORM-ATIPN
,..
Additional work_toa nertormecl under this permit-check all that appy:
HVAC Gas Tank E]Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 5848.00 Utilities:Sewer[]Septic Building Height: 70'
QWNER/LESSEE ;:CONTRACTOR
Name Greg G VanDeweel Name: Michael Heissenberg
Address:7380 S OCEAN DR 417 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State: FL
Phone No.440-725-6872 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 GOIVSTRUCTION LIEN LAW INFORMATION::
F
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: walterTillit Name:
Address:6355 NW 361h 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
commea=g work qpfenfftour No ' e of Commencement.
S
_Signature of Owner/Lessee/Agent Signature of Contractor/License 4older
STATE OF FLORIDA . C i'� STATE OF COUNTY OF FLORIDA 5-�
/ jtCOUNTY OF C�
The .or ping instrument was acknowledged before me The foroing instrument was cknowledged before me
this{=day of ( Q 1Y)—W," , 20 LLby this Ur day of QQ m j ,20 A0 by
Michael Heissenbkg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
g/-1��A 9X�t'u
(v�
(Signature of Notary PP blit-State F t a) (Signature of Notary P7OR
c-State of, r a)
Personally Known V OR Produced Identification Personally Known Produced Identification
Type of Identification Produced Type of Identification Produced
F f 1�J6� �1 HEATHER VIZI -. �a� <;pI�Fy HEATHER VIZZO
Commission No �o� "RG Commission No. ;aNOTARYPUBLIC
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NOT PUQLI �5 n� STATE OF FLORID
STATE OF FLORIDA
ae Comm#FF176266 �„f`r" �� om1176266
Revised 07/15/2014 s�'�GE li Expires 11/13/2018 Expires 11/13/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS