HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APELLCAT,INgO® BE ACCEPTED
Date: S BY t Permit Number: ' O O � (JQ
St. Lucie County
Building Permit Application R�EN�D
Alir, 0
Planning and Development Services Per i ��18
Building and Code Regulation Division �nttpn
1300 Virginia Avenue, Fort Pierce FL 34982 St Lu a Copn�mont
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential r
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATtONi'`` -- -
Address: 10200 S Ocean Drive 207
Legal Description: ATLANTIS III BY THE SEA UNIT 207AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-518-0015-000-9
Site Plan Name:
Project Name: Stillman
Setbacks Front X Back: X
Right Side:
Left Side:
Lot No.
Block No.
DETAII ED,t>ESCRIPTION OF WOR (-.�
Install 4 accordion shutters
CONSTRUCTION INFORMATION:°
Additiona wor to e e
orme un ert
ispermrt—check
a
apply:
�HV,
Gas Tank
Gas Piping
Shutters
❑ Windows/Doors
Electric 0 Plumbing
❑Sprinklers
11 Generator
D Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 3,134.00
Utilities:lSewer
Septic
Building Height:
=OWNER/LESSEE"t;
CONiRAiOR::
Name Charles Stillman
Name: Michael Heissenberg
Address:21942 Palm Grass Drive
Company: Expert Shutter Services
City: Boca Raton State: FL
Zip Code: 33428 Fax:
Phone No.561-603-1849
Address: 668 SW Whitmore or
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Maik
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 SZ500 or more, a RECORDED Notice of Commencement is required.
I
Name: ritemInc.
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens State; LL
Zip; 33166 Phone:
FEE SIMPLE TITLE HOLDER: = Not Applicable
Name:
Address:
City:
Zip: Phone:
)RMATION �'�
,,,
_
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
Zip: Phone:
1 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 attorney before
commencing work or,re—c—oRdine vour Notice of Commpncpmpnt_ —
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF L),Arj-e COUNTY OF_S1- u k6 e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this �_ day of .l_ 7 \la 20 Aby this - 1 day of ,\ 1� 20 L
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
pSignature of ytary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.Ga I Lif 225q MW kaalN1non.
0TARY
y
Revised07/1�/2014 p✓eFnt91- �Comm#GG148342
r r
Exniros .5/25r?0? 1
(Signature ofFVl Cary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. �-11L1S3yZ (Seal)
riaieign ohon
Camme n'.
'+VI
. .- .
x0ireF 5194/2I1.t
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE -
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS