HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE.COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: O(\'
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Building Permit AP � �+� . n
Planning and Development Services
I 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
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Address: 10152 S OCEAN DR 319E
Legal Description: ATLANTIS CONDOMINIUM BLDG B UNIT319B AND PRO-RATA SHARE IN COMMON ELEMENTS
Propeity Tax ID#: 4502-803-0026-000-6 Lot No.
Site P,an Name: _ _ Block No.
Protect Name: Swuan
Setbacks Front Back: X Right Side: Left Side:
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Install 1 roll shutter
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dititional work to be
pej orme under this permit—check ec a apply:
1=1HVAC I J Gas Tank Gas Piping Shutters Windows/Doors
❑ ❑
u Electric ❑ Plumbing 11 Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2,099.00 Utilities:Sewer OSeptic Building Height:
O'Nt~JER/I_ESE4 t` Ct}NTRICTOR fi
NamE'John W Swaun Name: Michael Heissenberg
Address:PO Box 1625 Company: Expert Shutter Services
City: Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34958_ Fax: City: Port Saint Lucie State:FL
Phone No.772-229-2883 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 lusted above) State or County License: 16572
[_If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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St �L ltif{E�N1 L�COa�STR f ' a1Qi' � 1 1l1f 1N R ATIt3N �, �, � MAN
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Tiltecolno. Name:
Address:6355 NW 36tn St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: Not Applicable
Name: 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 consideratibi Xof the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work
in accor tnii' the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The d i Suilding permit applications are exempt from undergoing a full concurrency review:room additions,
es uctures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
d �NING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
Jffi- provements 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 recording our Notice of Commencement.
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Signature of Owner Lessee/Contractor as nt for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The fjqgoing instrument was acknowledged before me
this day of 20 2 by this day of 20 _7A by
Michael Heissen4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Ry Type of Identification Produced
Taylor O rie ((}}
Commission No. sso�, NOTARY PUB IR$r�tmission No. 0�"L %eal)
x +STATE OF FL @ ptA Asso Taylor O'Brien
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999 NOTARY PUBLIC
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Revised 07/15/2014 s7,vice i��� Expires 2117/202 Comm#GG958999
s�RCE 19�� Expires 2/17/202
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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INITIALS