HomeMy WebLinkAboutComplete ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: � E I M Permit Number:
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 # PH-5
Legal Description: ATLANTIS III BY THE SEA UNIT PH5(705) AND PRO-RATA SHARE IN COMMONELEMENTS
Property Tax ID #: 4511-518-0063-000-0
Site Plan Name:
Project Name: Mosca
Setbacks Front Back: X Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 1 accordion shutter
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be pertormedunder this pert -nit — check all apply:
�HVAC L _J Gas Tank Gas Piping Shutters Windows/Doors
❑ Electric ❑ Plumbing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 1:592.00
S Ft. of First Floor: _
Utilities: Sewer El Septic
Building Height:
OWNER%LESSEE:
CONTRACTOR:
Name Ronald E Mosca
Name: Michael Heissenberg
Address: 10200 S Ocean DR # PH-5
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-486-7606
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:
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.
Ut31U1VtK/tNGINEE1R: — Not Applicable
Name: T+tL— inc.
Address: ssss Nw ssth st suite 3os
City: Woria Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: = Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
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.
_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 t9 obtain financing, consult with lender or an attorn�q before
commencing work o&Tggn E!g your No e of Commencement. �� � / "
as Agent f6r Owner I Signature of Contractor/License Holder
STATE OF FLORIDA (� STATE OF FLORIDA
COUNTY OF U �i ( V COUNTY OF_ E� . L�A C,
The fo oing instrument was acknowledged efore me
this day of 11' 20 &Jby
Michael Heissenb&g
(Name of person acknowledging)
`�o -
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. `l"l (STOW O'Brien
NOTARY PUBLIC
Revised 07/15/2014� Carte GG958999
E 19 Expires 2/17/2024
The forgoing instrumenitnwa acknowledged before me
this � day of r ` 20 70 by
Michael Hsissenberg
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known _ OR Produced Identification
Type of Identification Produced
Commission No. O'Brien or
�tY PUBLIC
_ STATE OF FLORIDA
Expires 2/17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW DATE REVIEW REVIEW
COMPLETE
INITIALS
qDEXPERT
SHUTTER SERVICES INC.
"We're Taking The Shutter Industry By Storm"
RonaldVoxcamo,�(L'z _ 1/31/20
10200 S. Ocean Drive. Unit PH-5-705 DEVELOPMENT
Jensen Beach, FL. 34957 LAtantic III by the Sea
• 772.486.7606 9 rev, M.
668 S.W. WHITMORE DR.
PORT ST. LUCIE, FL 34984
(772) 871-1915 (800) 749-9056
FAX (772) 871-0990
Ronald Mom- NJaze,'-
10200 S. Ocean Drive. Unit PH-5-705
Jensen Beach, FL. 34957
OWNER
INSTRUCTIONSSPECIAL
SHUTTERS MEET ALL LOCAL BUfLDtNG CODES. APPROX. DELIVERY 12-14 WEEKS
FIVE YEAR WARRANTY FOR PARTS AND LABOR. QUOTES ARE VAUD FOR 30 DAYS.
SHUTTERS MUST BE MAINTAINED PROPERLY (SEE MAINTENANCE INFO.). 133
Email to:
PAUL BARR
TOTAL
$1,592
DEPOSIT
$530
BALANCE
$1,062
WWW.EXPERTSHUTTERS.COM
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