HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:1!? ,C,• 19 Permit Number68
:
� RECEIVED
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Building Permit Application
Planning and Development Services
DEC 2 3 2019
Building and Code Regulation Division
ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED MPROVE MENT LOCATION.
Address: 10200 S OCEAN DR 606
Legal Description: ATLANTIS III BY THE SEA UNIT 606AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-518-0054-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Hill
Setbacks Front Back: X Right Side: Left Side:
DETAILED DESCRIPTION,°OF',WORK `'e
Install 1 accordion shutter
GONSTRUCTI_ON INFORMATION,
.,:.. .. . .m
Additional HVAC workto e e Gas Tank orme � under this permit—check a that
apply:
Gas Piping I� I Shutters E]Windows/Doors
11 Electric ❑ Plumbing Sprinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 1,622.00 Utilities:n Sewer Septic Building Height:
OVI/NER/LESSEE 7CONTRAGTOR
Name Edward Hill Jr Name: Michael Heissenberg
Address:10200 S Ocean DR Apt 606 Company: Expert Shutter Services
City: Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34957 Fax: City: Port Saint Lucie State:FL
Phone No.203-232-8945 Zip Code: 34984 Fax: 772-871-0990
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.
SUPPLEMENT AL>CONSTR, U' , 1,0N.LIEN LAW INFORMATION;
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiltecoinc. Name:
Address:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: 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 inten to obtain financing, consult with lender or an attor• y before
commencing work qFrTer\prd1ftg your Otice of Commencement. -
s
Signatur of Owner/Less /Contractor zgAgehvor Owner Signatufreof Contractor/License Holder
STATE OF FLOTw&e_ STATE OF FLORIDA
COUNTY OF COUNTY OF_ -
2�74k
The f rgoing instru nt was acknowledg efore me The forgoing instr ment was acknowledged before me
this day of 20 by this �b day of 20 1_7_by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging')
&MQ�L o I � P, &&k&_ C' ( r l Y-,
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known_�Z OR Produced Identification Personally Known_\,-"" OR Produced Identification
Type of Identification Produced Shaven O'Shea-
Type of Identification Produced
s �� O 2 Mipu Shanon O'SheNOTARY PUBLIC JCommission No STATE OF FLORI q ommission No. NOTARY PUBLComm#GG25803 STATE OF FL IDA
Comm#GG258 8
xpireS 2INCE AS Expires 9/12/2 2
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS