HomeMy WebLinkAboutBuilding Permit Application ALL 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 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 10200 S OCEAN DR PH-4
Legal Description: ATLANTIS III BY THE SEA UNIT PH4(704)AND PRO-RATA SHARE IN COMMONELEMENTS
Property Tax ID#: 4511-518-0062-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Bevis
Setbacks Front_X Back: X Right Side: _ Left Side:
DETAILED DESCRIPTION OF WORK:
Install 4 accordion shutters
CONSTRUCTION INFORMATION:
Additional work to b rforrned under this permit—check all that apply:
�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: $ 3.164.00 Utilities:Sewer[]Septic Building Height:
„ CONTRACTOR:
Name Ricky A Bevis&Antonio N Arroyo Name: Michael Heissenberg
Address: 1621 Lugo Ave Company: Expert Shutter Services
City: Coral Gables State:FL Address: 668 SW Whitmore Dr
Zip Code: 33156 Fax: City: Port Saint Lucie State: FL
Phone No.305-794-9410 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.
DESECiNERJENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:Tiiteao.Inc. Nar7ne:
Address:6355 rvw 36th Sr Suite 305 Address:
City: Virginia Gardens State: Ft. City: � --- State:
I Zip: :j31 Phone _ Zip: _— Phone: _—
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
CrtY: __ City:_
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 Nome 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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE,FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDERATTORNEY EFORE RECORDING YOUR NOTICE OF COM NC MENT
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Signature of Owner/Lessee/Contractor as Agent f r Owner Signature of Contractor/License Holder I
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �rt. L kt,( COUNTY OF �A _�iLQC'._
The f04going instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_4%�day of_.f .6,41_ —_ 70_u j by this_L i().day of__Wf400._ 20 o by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification_._ Personally Known / —OR Produced ldentificatmn...... .......__ j
Type of identification Type of Identification
I
Produced Produced
{Signature of Notary Public-State of - a tiC (Signature of Notary Public- State of Flor'
Y pll { g Y Shenon C3 Shaa 11
,�" $ N�AtF qF FLC3tttC� > (� Nt3TAR PUI3I ICA
Commission No. 8036 Commission t�
Gommg OG25 STATE OF Ff C7Ft�0
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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