HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED F j
Date: 11 I� 7 SCANNED Permit Number:
By C;: l o"
0 St. Lucie County Ez D
Building Permit Application MAR' 7 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 III
Address: 19680c nCP�� ) 0 K Q 5. 0 6 e 0 n 0l". -a 311-B
Legal Description: ATLANTIS CONDOMINIUM BLDG B UNIT311B
Property Tax ID #: 4502-803-0018-000-7
Site Plan Name: Victoria J Boyd
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install 1 Accordion Shutter
Lot No.
Block No.
uw uundi wurn w ue
QHVAC
Electric
cnvnneu
unuer inn
Tank ❑Gas
Plumbing []Sprinklers
purnur—LIMLK do dppry:
Piping Shutters ❑Windows/Doors
F]Generator D
Roof
_Gas
0
Total Sq. Ft of Construction:
Cost of Construction: $ 5617.00
S Ft. of First Floor: _
Utilities: Sewer ElSeptic
Building Height: 60'
QW, ,NER/LESSEE:
CONTRACTOR:
Name Victoria J Boyd
Name' Michael Heisenberg
Address:10152 S Ocean DR Apt 311B
Company: Expert Shutters
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 727-940-2827
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.
SUPPLEMENTrAL CONSTRUCTION
LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name: rllew,lnc.
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 6355 NW 361h Sl #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 Count 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 1 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 attorney before
commencing work or recording vW7 Notice of Commencement. ca
_ Signature of Owner/
COUNTY OFORIDA �.1 c COUNTY OFSTATE OF FLORIDA
U LuC,�
The forgoing instrument was acknowledged before me The forgoing instrument /was ]c�knowledged before me
this I, Ny of �Q �(� 20 Lby this S(�4 day of fy)o 20 L by
Michael Heissenberg Michel Heissenberg
(Name of person acknowledging I (Name of person acknowledging I
— V r
(Signature of Notary Public- State of Florida
Personally Known x OR Produced Identification
Type of Identification Produced
Commission Noi+ f 7 1606(0 HEATHER u ZZ
o1'+ky o STATE OF FLORID
- cmmK lOLbb
Revised07/15/2014 QEM' Expires 11/13/2018
ct/ , C7
(Signature of Notary Public- State of ROM
Personally Known x OR Produced Identification
Type of Identification Produced
Commission
JJy I /CRY PUBLIC
SrATE OF FLORIDA
Comm# FF1767R6
Expires 11/13/2018
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