HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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FEB 13 2020
Building Permit Applicatio
Planning and Development Services Permitting Department
Building and Code Regulation Division St. LLICIe County, FL.
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
P,.ROPbSED 1NIPROUEMENT LOCATION t
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Address: 10200 S Ocean Dr 607
Legal Description: ATLANTIS III BY THE SEA UNIT 607AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-518-0055-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Moretti
Setbacks Front Back: X Right Side: Left Side:
DETAILED DESCRIPTION OF WORK x
4,- ,
Install 2 accordion shutters
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CaNSTRUCTIQN INFORNtATION ;,
iAdditional work toe performed under tis permit—check a appy:
HVAC Gas Tank Gas Piping _Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers 1:1 Generator F] Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 2,592.00 Utilities: Sewer Septic Building Height:
01NNER/LESSEE r x CONTRAGT'OR
Name Antonio Moretti Name: Michael Heissenberg
Address:3062 GOLDEN ORCHARD DR Company: Expert Shutter Services
City: MISSISSAUGA State:ON Address: 668 SW Whitmore Dr
Zip Code: L4X 2W2 Fax: City: Port Saint Lucie State:FL
Phone No.647-220-9963 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.
Sl1PPLEMENTAL CONSTRUCTIaN LIEN LAW IN,FQRMA►TION �s
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tlltecolnc. 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 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
commencing work or rpeadigg your Notic,,6 of Commencement.
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S niOure of Owner/Lessee/Contractor as Agent for ner Signature of Contractor/License Ho der
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ORIDAiL��r` D COUNTY STATE OF
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U T&Lrgoing instrument was acknowledged before me The f�rgoing instrl ent was acknowledged before me ��
is day of IO20 Mby this day of f,b'I'Ula 20 by 0
�m N0111
X O —i 3
Heissenb&g Michael Hsissenberg 'R. 3
1 ame of person acknowledging) (Name of person acknowledging) Co m
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(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Floridaco D
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GG258036 (Seal) Commission No. GG258036 (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS