HomeMy WebLinkAboutSigned ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
J
I
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: 10200 S OCEAN DR 506
Legal Description: ATLANTIS III BY THE SEA UNIT 506AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-518-0044-000-1
Site Plan Name:
Project Name: Grigas
Setbacks Front Back: X Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
MS40Ai 1 C'Qocv-&c.-'� 5.lh".ttW
Lot No._
Block No.
CONSTRUCTION INFORMATION:
itiona wor to e erforme� under this permit —check all apply:
0HVAC Gas Tank Gas Piping r
Shutters a Windows/Doors
❑ Electric ❑ Plumbing Sprinklers Generator El Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ ��Ia r`. Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR;
NameJeffrey C Grigas
Name: Michael Heissenberg
Address:10200 S Ocean Dr #506
Company: Expert Shutter Services
City: Jensen Beach State:FL
Zip Code: 34957 Fax:
Phone No. 772-631-8741
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail: Callexpert@aol.com
E-Mail:
Fill in fee simple Title Holder on next page ( if different
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.
Name: T Inc.
Address: r3ss NW 36th St Sufe 305
City: Vitoria Gardens
Zip:331W Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
NOT Appucawe
State: FL
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
X Not Applicable
_Not Applicable
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 tgg obtain financing, consult with lender or an attorn�q before
commencing; work odour Notit:e of Commencement. /f� � /
as Agentilbr Owner I Signature of Contractor.
STATE OF FLORIDA STATE OF FLORIDA � 1 p
COUNTY OF V1 C Q� 1COUNTYOF `.iLA(A-,
� -,
The forgoing instr en w s acknowledged Before me The fo`rg oing instrument was acknowledged before me
this day of u i 20ZLby this t 1 day of 20 by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida )
1
Personally Known (, OR Produced Identification
Type of Identification Produced
Commission No.
Taylor O'Brien
AberAhYPLIBLIC
STATE OF FLORIDA
(Signature of Not ry ,/ublic- State of Florida Pr )
Personally Known ) OR Produced Identification
Type of Identification Produced_
Commission No. Taylor O'Brien
NOTARY PuB
Revised 07/ 15/2014 ao" E ig WExpires 2/17l2024 `• f T Comm# GG95899
t9'► . Expires 2l17/20.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
IDEXPERTPORT STVLUC E,ORE FL 34984
ESSSHUTTER SERVICES INC. (772) 871-1915 (800) 749-9066
"We're Taking The Shutter Industry By Storm" FAX (772) 871-0990
SPECIALTOTAL $1, 938
SHUTTERS MEET ALL LOCAL BUILDING CODES. APPROX. DELIVERY 12-14 WEEKS
FIVE YEAR WARRANTY FOR PARTS AND LABOR. QUOTES ARE VALID FOR 30 DAYS. DEPOSIT $645
SHUTTERS MUST BE MAINTAINED PROPERLY (SEE MAINTENANCE INFO.). 140
BALANCE $1,293
Email to: grigasfamily@aol.com
SALES REPRESENTATIVE DATE PURCHASER
ARR
1
W W W.EXPERTSHUTTERS.COM
Ocean
x 104'
Jeff Grigas Residence
Egress
Front Door