HomeMy WebLinkAboutApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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wommumm Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 10102 S OCEAN DR 410A
Legal Description: ATLANTIS CONDOMINIUM BLDG A UNIT410A AND PRO -RATA SHARE IN COMMON ELEMENTS (OR 3673-145:3865-2470)
Property Tax ID #: 4502-802-0037-000-3
Site Plan Name:
Project Name: Brick
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
1 White Roll Shutter
Right Side: Left Side:
Lot No._
Block No.
CONSTRUCTION INFORMATION:
Additional work tojebe orme under this permit –check a appy:
HVAC I_J Gas Tank F]Gas Piping Z Shutters ❑ Windows/Doors
11 Electric D Plumbing Sprinklers 1-1 Generator F]Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 2156.00 Utilities:n Sewer ElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jeffrey G Brick
Name: Michael Heissenberg
Address: 9835 Hawthorne Glen DR Grosse Ile, MI 48138
Company: Expert Shutter Services
City: Grosse Ile State: MI
Zip Code: 48138 Fax:
Phone No. 734-341-1330
E -Mail:
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State. FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: Callexpert@aol.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CgN'STRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: Tiltecolnc
MORTGAGE COMPANY: X- Not Applicable
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 ruing your Wtice of Commencement. /
ature of Owner/Lessee/Contractor as Agent
STATE OF FLORIDA
COUNTY OF St. Lucie
Signature of Con
STATE OF FLORIDA
COUNTY OF 5i. Lucie
cense
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _Jp day of 20 Eby this _(,o day of 20 a by
Michael HeissenbArg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida) (Signature of Notary Pu lic- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
a5%qaq A6' ggcj
Commission No. GG358938 I) Taylor O'Brien Commission No. G(3268" hR
NOTARY PUBLICSTATE OF O'Brien
FLORIDA a NOTARY PUBLIC
Comm# GG958999 OF RID,
Revised 07/15/2014 i.►+e �g1 C01" GG958999
E Expires 2/17/2024 �'�E ls'1� Expires 2/17/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
IDEXPERT 568 S.W. WHITMORE DR.
ESSPORT ST. LUCIE, FL34984
SHUTTER SERVICES INC. (772) 871-1915 (800) 749-9056
'We're Taking The Shutter Industry By Storm' FAX (772) 871-0990
BILLING INFORMATIONDATE JOB INFORMATION
Jeff Brick 1/21/20 Jeff Brick
10102S Ocean Drive. Unit 410 A DEVELOPMENT 10102 S Ocean Drive. Unit 410 A
Jensen Beach, FL. 34957 Atlantis A I Jensen Beach, FL. 34957
• 734.341.1330 0 • OWNER
QTY DIMENSIONSDESCRIPTIONCOST
1. 1
120"X 61" WINDOW, WHITE, ROLL CRANK WIN SCF $2.156 i
t
u3y"\SPECIAL INSTRUCTIONS
T.
I ,
i
j
SHUTTERS MEET ALL LOCAL BUILDING CODES. APPROX. DELIVERY TOTAL $2,156
12-14 WEEKS
FIVE YEAR WARRANTY FOR PARTS AND LABOR. QUOTES ARE VALID FOR 30 DAYS. I
DEPOSIT i $71 g
SHUTTERS MUST BE MAINTAINED PROPERLY (SEE MAINTENANCE INFO.). 140
BALANCE $1,438
I Email to: bbrick@comcast.net
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PAUL BARR
WWW.EXPERTSi- UTTERS.COM