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HomeMy WebLinkAboutBuilding Permit Application t ' ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: cal�o`� • 011 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 . 3 .. Biqa P1PCiSEd 1'PROVEM LOCATICII � Address: 10152 S OCEAN DR 613B Legal Description: ATLANTIS CONDOMINIUM BLDG B UNIT613B AND PRO-RATA SHARE IN COMMON ELEMENTS Property Tax ID#: 4502-803-0050-000-3 Lot No. Site Plan Name: Block No. Project Name: Shaughnessy Setbacks Front.X Back: X Right Side: Left Side: a�T� L3ESC�11C �UV7lIC � y 1 2� %:2 r����-.. .,�:'.��� .�•dy�' �_�.£ m.� '...'�. ?'m ..�_�`", r ..:� _ i ..ra.. „'ro��a r��.. ��lPr�«. Install 4 accordion shutters Mr3t'$"' ,2''L5 ONST r CRU� 4IINOR �IN g F : a _ �.._ ,. Additionalworktobenerrormedd unclerthis permit-check a apply: ❑HVAC Gas Tank Gas Piping Shutters Windows/Doors ❑Electric ❑ Plumbing Sprinklers ❑Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ 3,164.00 Utilities:Cn Sewer E]Septic Building Height: 01tNER/LESSEE C©NTRAC pR Name Deborah&Pater Shaughnessy Name: Michael Heissenberg Address:52 Dickerman Ln Company: Expert Shutter Services City: Braintree State:MA Address: 668 SW Whitmore Dr Zip Code: 02184 Fax: City. Port Saint Lucie State:FL Phone No.561-451-2092 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. I I I SURPMEMEN LA ?t~tM,ATIt N, , � X AY sk ,� 5 `.. a DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Tltewlnc. Name: Address:6355 NW 36th 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 tructure. 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 n 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 to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. s Signature of Owner/Lessee/Contractor Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St.Luce COUNTY OF St.Lucie The n forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me this 2a.L day of 1� 20 Xby this�day of 1'U �iltti 20 by Michael Heissenberg Michael Heissenberg (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary u ic-State of Florida) Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Produced Type of Identification Produced ay GG958999 Y PUBLIC GG958999 ��� ay10r O'Brien Commission No. < o Commission No. a STAT OF FLORIDA NOTARY PUBLIC Comm#GG958999 a STATE OF FLORI©A '/NCE 19A Expires 2/17/2024 CE 19�e G95>i999 Revised 07/15/2014 Expires 2/17/2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS I I