HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: O ��
BY
}T7 ' St. Lucie County FED � oilf ED
G o w 1
Building Permit Application MAR 17 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 10102 S OCEAN DR 410A
Legal Description: ATLANTIS CONDOMINIUM BLDG A UNIT410A
Property Tax ID #: 4502-802-0037-000-3
Site Plan Name: Jeffrey G Brick
Project Name:
Setbacks Front Back: Right Side:
Install 1 Accordion Shutter
0HVAC IJ Gas Tank ❑Gas Piping
11 Electric 0 Plumbing []Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5579.00
Lot No.
Block No.
Left Side:
Shutters ❑ Windows/Doors
Generator Roof
Sq. Ft. of First Floor: _
Utilities: Sewer ElSeptic
Building Height: 60'
QW, ,NER/LESSEE:
CONTRACTOR:
Name Jeffrey G Brick
Name: Michael Heisenberg
Address:10102 S OCEAN DR 410A
Company: Expert Shutters
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.734-341-1330
Address: 668 SW Whitmore Dr
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Callexpert@AOL.com
State or County License: 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LI€N LAW INFORMATION:mmi
DESIGNER/ENGINEER: x Not Applicable
Name: Tilteco,Inc.
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 6355 NW 36th St #305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone: 305-871-1530
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
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 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 to obtain financing, consult with lender or an attgrney before
_ Signatdre of Owner/
STATE OF FLORIDA / STATE OF FLORIDA
COUNTY OF 154LLL c / -2 COUNTY OF L l,c c/-t
The forging instrument was acknowledged before me
thisLS day of L1/r 20 uby
Personally Known x OR Produced Identification
Type of Identification Produced 0,050 n a I I. U Ab n
I i 171 �1 I_.Ry HEATHER vl�-
Commission No. 10 p( �,iGr'a})OTARY PUBLIC
>!tti f?g STATE OF FLORI'
Revised 07/15/2014 sN ExPir!�= e
The forgping instrument was acknowledged before me
this S day of 20 1-7by
Michel Heissenbeig
(Name of person acknowledgisio qLmne
g )
(Signature of Notary Public -State of F r
Personally Known x OR Pro ce dentififation
Type of Identification Produlced_� 6nL (�
Commission No. 7 b d 1p b �`S�eai HEATHER VIZZC
NOTARY PUBLIC
eff ESTATE OF FLORI
Expires 11
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