HomeMy WebLinkAboutSigned ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Commercial X Residential
Address: 10152 S Ocean Drive #716
Legal Description: ATLANTIS CONDOMINIUM BLDG B UNIT716B AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 3578-2143)
Property Tax ID #: 4502-803-0063-000-7
Site Plan Name: Macfarlane
Project Name: Macfarlane
Setbacks Front Back: X
Right Side: Left Side:
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK:
Install 1 Accordion Shutter;
After the fact permit
CONSTRUCTION INFORMATION:
—Additionsal wor to e er orme un er t is permit — c�c a app y:
❑HVAC Gas Tank Gas Piping �_ Shutters ❑Windows/Doors
❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 954.00 Utilities: Sewer ❑ Septic Building Height:
OWNERAESSEE.
CONTRACTOR:
Name Janis Macfarlane
Name: Michael Heissenberg
Address: 1532 Lighthouse Drive
Company: Expert Shutter Services
City: Naperville State: IL
Zip Code: 60565 Fax:
Phone No. 630-470-0578
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 52500 or more, a RECORDED Notice of commencement is requires.
Not Appli
Name:-nitecoinc.
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable I BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 t obtain financing, consult with lender or an attorn before
commencingwork o our No ' e of Commencement.
2--z
V
.1V-�_% _4�" <
Signature of Owner/Lessee/Contractor as AgentAr Owner I Signature of Contractor/License Ho
STATE OF COUNTY OFORIDA �k ` /1 I (` I COUNTY OFSTATE OF ORIDA i ` W D -
The fo oin instrument was acknowied. before me The forgoing instrument was acknowledged before me
this day of �U�� 2M_ by this � day of 20 ?6 by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
!�2 -
(Signature of Notary�Public- State of Florida )
Personally Known 10 OR Produced Identification
Type of Identification Produced
Commission No.0A -II N�� Y PUBLIC
�STA
y$OF FLORIDA
Cornm# GG958999
Expires 2/17/2024
Revised 07/15/2014
V,_)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
(� Taylor O'Brien
Commission No. I to 301— ,RY PUBLIC
� STATE OF FLORIDA
Expires 2/17/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Jul 15 20 10:30a Sue Devlin
6309953343 p.1
EXPERT
SHUTTER SERVICES, INC.
"We're Taking The Shutter Industry By Stormy
BILLING INFORMATION W I- rJ
Janis Macfarlane
1532 Lighthouse Drive
Naperville, IL. 34957
INVOICE
DATE 511812011
CONDO
Pam" INSTALLATION ADDRESS
Janis Macfarlane
10152 S. Ocean Dr. #716
Jensen Beach, FL 34957
Atlantis B
INVOICE #
PHONE 1
PHONE 2 TERMS
DUE DATE
30416
630470-0578
Due on completion
7115120111
QUANTITY
DESCRIPTION
AMOUNT
White HV Accordian 124.5" X 54", Window, WIN SCF
954.00
Shutters Meet All Local Building Codes. Delivery Time Is Approx. 3-4 Weeks. Five Year
0.00
Warranty On Parts And Labor (See Warranty Information). Shutters Must Be Maintained
Properly To Protect Warranty (See Maintenance Information).
5-18-11; Received Deposit In The Amount Of $318.00 Processed On A Visa. Thank
You.
Job Completion Date: 7-15-11
8-1-11; Re -mailed To New Address
8-10-11; Received Check #10212 In The Amount Of $636.00. Thank You_
SPECIAL INSTRUCTION:
SALES REPRESENTATIVE
DATE
PURCHASER
TOTAL
$954.00
i
DEPOSIT
$954.00
B N
5/180011
LANCE
KO
RUYFRS RIGHT TO CANCEL
VIIS IS A I+OME SOLICITATION SALE, AND TF YOU DO NOT WANT THE GOODS OR SERVICE, YOU MAYCANC[L THIS AGREF.MRNT BY PROVIDING WRITTFN NOTICE TO TF11. SELUl R IN
PERSON, BY TF.LEGA4M. OR Rl' titACl. TIES NOTICE hfUST IhU1CATF THAT YOU DO NOT WANT THE GOODS oR sERVFCEs AND I�iLCST BE DELR'ERED OR POS' MARKED BEFORE M[DNIG HT
OFTIIE'n BRD BCSTIPSS DAY AFCER YDIT SIGN THIS ACRc EMENT. IF YOU CANCLL THIS AGREEMENT, T11E SELLER M.aY NOT KEEP Ai.L CR PART OF ANY CASH DOA'N PAYMENT.
ILU-kNCE DUE UPON COMPLETION -ALL CHECKS PAYABLETO EXPERT SHUTTER SERVICES 11X- WE RESERVE TIME RIGHTTO ADD ON 1.5%PER MONTH DN,%NY OVERDUE INVOICES.
668 S.W. Whitmore Drive, Port St Lucie, FL 34984 - (772) 871-1915 - (800) 749-9056 - Fax (772) 871-0990
Ocean
9
Balcony
Max Farlane Residence
Front Door