HomeMy WebLinkAboutBuilding permit application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED h
Date: 02' ��• Permit Num er F,,,-- U � .3
it 2
pp
Building Permit A licatio FEB 18 2020
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Ri2sidentW
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENTLOCATION `
rF
Address: 10200 S Ocean Dr 302
Legal Description: ATLANTIS III BY THE SEA UNIT 302AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-518-0020-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Bozzo
Setbacks Front Back: X Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Install 2 accordion shutters
CONSTRUCTIONANFORMATICrN
Additional work to e e rformed under tis permit—check all appy:
11HVAC Gas Tank []Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S . of First Floor:
Cost of Construction:$ 2,592.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE` CONTRACTOR
r
13
Name Giuseppe Bozzo Name: Michael Heissenberg
Address:1111 IBIS CT Company: Expert Shutter Services
City: MISSISSAUGA State:ON Address: 668 SW Whitmore Dr
Zip Code: L4W 3K7 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
1f value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENl'AL CONSTRUCTION LIEN LAIN INFORMATION f
�... ,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiltew inc. 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 intend t obtain financing, consult with lender or an attorney before
commencing work or reco ur Ngetice of Commencement.
s
o Wnature of Owner/Lessee/Contractor as Agent If Owner Signature of Contractor/License HV
U X N
o MATE OF FLORIDA STATE OF FLORIDA �1 I °
o a U. �OUNTY OF S-��,��,�,I COUNTY OF
.o
r o
HLU �he oing instrument was acknowledged before me The forgoing instrument was acknowledged before me m no z
Cn z P Ris day of 20 'Mby this—Eday of 6 20 ?�by . 3 o
4- CDQ
> �olichael Heissenb,4g Michael Hsissenberg ce C
cCD
ame of person acknowledging) (Name of person acknowledging) � � m D�
yba�a N
01
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GG258038 (Seal) Commission No. GG258038 (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS