HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1 l
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: I — 00q(0
BY
St. Luce County RECENE®
Building Permit Application NOV 0 2 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie county, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
?P•ROPOSED:IMPROVEMENT
LOCATION: w ;
Address: 10152 S Ocean DR 411-B
Legal Description: ATLANTIS CONDOMINIUM BLDG B UNIT411B AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID fi: 4502-803-0028-000-0 Lot No.
Site Plan Name: Block No.
Project Name: NELSON
Setbacks Front X Back: Right Side: Left Side:
DETAILEd"DESGRIPTI0�1�'OF
Install 1 Accordion Shutter
;CONSTRUCTION!`INFORMATION'.'
AdClitional workto be nertormed un ert is permit— check all apply:
E1HVAC Gas Tank []Gas Piping 2_ Shutters ❑ Windows/Doors
Electric OPlumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 657.00 Utilities: Sewer Septic Building Height:
O,WNERf LESSEE:
CONTRACTOR: _
Name Peter Nelson
Name: Michael Heissenberg
Address:1552 Fairway or
Company: Expert Shutter Services
City: Paso Robles State: CA
Zip Code: 93446 Fax:
Phone No. 805-218-7330
Address: 668 SW Whitmore or
City: Port Saint 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
11
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
Not
Name: Titecolne.
Ad d ress: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 No ice of Commencement must be recorded and posted on the jobsite
before the first inspection. Ifyyou int nd to obtain financing, consult with lender or an attorney before
commencipg-Wo_Ek or recoPcffirJa vo Notice of Commencement. — I 0
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF <A— L i : C COUNTY OF cZA_ I, t A c i 2
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of�'t-pY� 20 Elby this4Sday of 20 1=i by
Michael Heissenb�rg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
Q� .a/\ I I
A
Signature o N tary Public- State of Florida) ( ignature of of ry Pub Ic- State of Florida )
Personally Known V OR Produced Identification Personally Known V// OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. C�Lg 114g7ii2 (SeAleigh Short Commission No.Cl1G)Lie_2 Z (Seal)
�. 1PRY
a~ NOTARY PUBLIC 1 Y Haleigh Short
o gINU I ARYPUBLIC
Revised 07/15/2014 r CommfPGG148342 0 �STATE OFFLORII
• "Vice 9"6 Expires 5/25/2021 ~� -? Canmp GG1AA11w
Aires 5/25/202
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