HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FbeARNN A.TION TO BE ACCEPTED 2
Date: BY U Permit Number: NO 73 C)
St. Lucie County
tY
Building Permit Application VA,t� a 2[lUB
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
H PROPOSED IMPROVEMENT LOCATION::.: °• ` 1
Address: 10102 S OCEAN DR 707A"
Legal Description: ATLANTIS CONDOMINIUM BLDG A UNIT707A AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-802-0064-000-1
Site Plan Name:
Project Name: SCHMIDT
Setbacks Front Back: x
Right Side: Left Side:
Install 2 accordion shutters and 1 roll shutter
Lot No.
Block No.
C NSTRUCTION'INFO
'RMATi1OW1'-
Additional work to e e orme un er t is permit— check a app y:
OHVAC E] Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers M Generator D Roof Roof pitch
Total Sq. Ft of Construction: S �Ftj. of First Floor:
Cost of Construction: $ 2,739.00 Utilities: LJ Sewer El Septic Building Height:
:OWNER/L'ESSEE: ,
CONTRACTOR:: m ; +
Name Ricky & Lori Schmidt
Name: Michael Heissenberg
Address:15716 Custer Dr
Company: Expert Shutter Services
City: Macomb State: FL
Zip Code: 48042 Fax:
Phone No.586-344-9313
Address: 668 SW Whitmore Dr
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: x
Not Applicable
Name: Tiitecoinc.
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:
= Not Applicable
BONDING COMPANY:
Applicable
Name:
_Not
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 intenrd to obtain financing, consult with lender or an attorney before
commencing wor�otWccpWing your/Notice of Commencement. �1
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 53— l A_LC , C COUNTY OF SA= \ k -P
The forgoing instrument was acknowledged fore me The forgoing instrument was acknowledged before me
thisp`d� ay of�n\�.� 20 �6by thi425day of I,C�Y1L�r. 20 \Y, by
Michael Heisseninl4ij Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature ,bf fJotary Public�State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.6GN93LIZ (Seal)
,IppyA„_ Haleigh Short
(( ignat� ry Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced_
CommissionNo4�� (Seal)
<aNyA._ Haleigh Short
STATE OF FLORIDA
o STATE OF FLORIDA
__Revised 07/15/2014 Comm#GG148342 Comm#GG148342
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
3
INITIALS
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