HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _tr—[7 oZ Y'OZ i�q_
Date
- , Permit Nury b ' � �,
FEB 12 2020
• Building Permit Application
Permitting Department
Planning and Development Services
Building and Code Regulation Division St. Lucie Cod nLy, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPR011EMENT LOCATION .
Address: 10200 S OCEAN DR 304
Legal Description.. ATLANTIS III BY THE SEA UNIT 304AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID#. 4511-518-0022-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Bozzo
Setbacks Front Back: X Right Side: Left Side:
z DETAILED DESCtiPTION O'I` WORK a _, ' v � Ns
Install 2 accordion shutters
CONSTRUCTION INFORMATIONx r
Additional Work-to be nertormed under this permit—check a appy:
HVAC Gas Tank Gas Piping Shutters ❑Windows/Doors
❑Electric ❑_Plumbing ❑Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S�Ftof First Floor:
Cost
Cost of Construction:$ 2,592.00 Utilities: Sewer❑Septic Building Height:
OWNER/LESSEE s 3 CONTRACTOR `£
Name Natale Bozzo Name: Michael Heissenberg
Address:1559 GOLDMAR DR Company: Expert Shutter Services
City: MISSISSAUGA State:ON Address: 668 SW Whitmore Dr
Zip Code: L4X 1 N6 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.
S[lPPLEMENTf L C0NSTRUCT10 LIEN U4W INI=ORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tliteco Inc. Name:
Address:6355 NW 96th 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
0
gIVARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
iu o improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
v, LL �iefore the first inspec ' . If you intend to obtain financing, consult with lender or an attorney b fore
o o ctommencin work o r cor 'c
our No e of Commencement.
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Signature of Owner/Lessee/Contractor as Agent f Owner Signature of Contractor/Licen Holder m�
e
TATE OF FLORIDA L STATE OF FLORIDA m �`0 s
COUNTY OF �T � �I C, COUNTY OF D a 'o
y � ;
The f r oing instrument was acknowledged before me The forgoing instrument was acknowledge�dbbefore me c`o Om v O
;00
this�day of 20 ?Uby this�day of 20 Ly by r
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Michael Heissen4rg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
&WQ-V�_ 0l ( +� ( 0 VIIC
(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