HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l �(� I Permit Number: 1 I v T
I
® REi EIVED
Building Permit Application
Planning and Development Services Q F 0
Building and Code Regulation Division St.Lu019 County
2300 Virginia Avenue,Fort Pierce FL 34982 Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
i
PERMIT APPLICATION FOR: Shutter
.. s
PROPt3SED IMPR01/EMEIVT LOCATIt N I
Address: 10152 S OCEAN DR 514B
Legal Description: ATLANTIS CONDOMINIUM BLDG B UNIT514B AND PRO-RATA SHARE IN COMMON ELEMENTS(OR 792-2581:3029-1540;3766-2196,2201)
Property Tax ID#: 4502-803-0041-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Selig
Setbacks Front X Back: Right Side: Left Side:
DETAII_ED'DESCRIPT� 3N` t , :Q WORK ti
Install 2 accordion shutters
Ct?NSTRUCTIt3N IN; ` RI1/IATION t
Additional work to e e orme under this permit—check a apply:
❑
- I
HVAC E]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:$ f Q 5 �. 0 o Utilities: Sewer[]Septic Building Height:
1
Q NvN [I/LL [—. ;: ; TOM
Name Francine Selig Name: Michael Heissenberg
Address:872 Greenbelt Pkwy W Company: Expert Shutter Services
City: Holbrook State:NY Address: 668 SW Whitmore Dr
Zip Code: 11741 Fax: City: Port Saint Lucie State..FL
Phone No.631-472-6251 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
i
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I
i
H e'f N 3y i ,kaY
SIPFL�EMEN"CAL CONS `tCiCTtON IIV LAW I FtRl1lIATICI � r, ;
.. _ �.�,a ..
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: to355 Nvv 31o"K S+ Sur-e_ 305 Address:
City: v,Yg\r,G aoo(drns State: r-L- City: State:
Zip: 331 ok. Phone Zip: Phone: "
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: 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 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,iperform 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 concurre,ncy 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 inj paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. Ifyou intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
.j
Signature of Owner/Lessee/Contr V01,21s Agent for Owner Signature of Contractor/License Holder
STATE OF FLO, IDA STATE OF FLORIDA
COUNTYOF . L LLCI I COUNTY OF fir- 0_4C- P-
S to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
wo n
Physical Presence or Online Notarization /Fhysical Pres nce or Online Notarization
this La day of 2020 by this�day of 2020 by
I
Name of person making statement. 1J Name of person making statement.
i
Personally Known I/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Pro uced Produced
9
(Signature of Notary Public-State of Florida) (Signature of Notary Public-St oeagf Flori
l gfl�non O'Shea
Shanon O'Shea s�N�TOA,�Y PUBLIC
Commission No 3 mot NOTARY PUBLI Commission No. o _SOF FLORIDA ,
y.STATE OF FLO IDA �; ?Comm#GG258038
Comm a Expires 9/12/2022
REVIEWS FRONT ZONI�EA-a S 1 qWI%/JgJ 020LANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW (REVIEW REVIEW
DATE
RECEIVED
DATE j
COMPLETED
Rev. 5/6/20