HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
SCANNED
BY
St. Lucie County
Building Permit Application SEP 11 2018
Lid
Planning and Development Services
Building and Code Regulation Division Permitting Departmeni
2300 Virginia Avenue, Fort Pierce FL 34982 A� FIL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Re g�,apcie Countyl IrL
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PERMIT APPLICATION FOR: Shutter
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Address: 10152 S Ocean Cr #713
Legal Description: ATLANTIS CONDOMINIUM BLDG B UNIT713B AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-803-0060-000-6 Lot No.
Site Plan Name: —_ Block No.
Project Name: Thomson
Setbacks Front Back: x Right Side: Left Side:
4! effR6�kt�j 11,'
Install 2 roll shutters
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AaamonalworKtoDr-Irtormed underthis permit — cneCK all a pply:
11HVAC — GasTank E]Gas Piping Shutters Windows/Doors
11 Electric F]Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S, Ft of First Floor:
Cost of Construction: $ 7,433.00 Utilities: Sewer Septic Building Height:
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NTI R
Name: Michael Heissenberg
Name D Audrey Thomson
Address: 10152 S Ocean Dr #713B
Company: Expert Shutter Services
City: Jensen Beach State: FL
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34957 Fax:_
Phone No. 772-229-0121
Zip Code: 34984 Fax: 772-871-0990
E-Mail:—
Phone No. 772-871-1915
Fill in fee simple Title Holderon nextpage(if different
E-Mail: Callexpert@aol.com
State or County License: 16572
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGI NEER:
Name: TiltecoInc.
Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Add resS: 6355 NW36th St Suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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 Countri makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whichisincol ict 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, per -form 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 or an atto7y before
commencinia work or recec&nia vourgotice of Commencement.
re
STATE OF FLORIDA STATE OF FLORIDA
COLJNTYOFf—:t+ kk)_C,�(J ICOLINTYOF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ( k day of SC_PW.N)r)eY 20 laby I this L Q day of 20 NlB by
Michael Heiwenblim Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
(Signature f otary Public- State of Florida
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.C-iGAL483q Z
Revised 07/15/2014
of kJolary PJublic- State of
Personally Known OR Produced Identification
Type of Identification Produced
(Seal) Commission No.
Hal Short
STATE OF FLORIDA
Convvl#GG148342
(Se�J,,,,h Shoit
�_' NOTARY PUBLIC
CM"GG148342
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