HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: 1 �/(7 ` b-1 r]
BY RECEIVED
St. Lucie County
OCT 1; 91010
Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter -
Address: 10200 S Ocean or #407
Legal Description: ATLANTIS III BY THE SEA UNIT 407AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-518-0035-000-5
Site Plan Name:
Project Name: Albert
Setbacks Front Back: x
Right Side:
'i EI`AILED'DESCRIPTttlN OF.WORK.
Install 2 accordion shutters
[At0NSTftUCT1�N 11dFt),RMAriQN:
Left Side:
Lot No.
Block No.
Huwuond1 wurrc w ue enunneu unuer mr5 permn:—cnecK all apply:
0HVAC _ Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
Electric OPlumbing Sprinklers Generator 1:1Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,456.00
S Ft. of First Floor: _
Utilities:cn Sewer 0 Septic
Building Height:
Name James Albert
Name: Michael Heissenberg
Address:2 Norman Court
Company: Expert Shutter Services
City: Dix hills State:NY
Zip Code: 11746 Fax:
Phone No.531-558-7459
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
It value at construction is ,SZ500 or more, a RECORDED Notice of commencement is required.
�....l+m as R via h i
=t PPL E�i--fled xkP�#i[UiA74Gf+l' Rip
p
'z G* E•, use t 9rvn 's^ vi ��"'i' .":k+ � ,,,rr: �'`._....:: .. x.ma' $" #, "?.r4"`*="'b* s x e
':..�
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: TiltemInc.
Name:
Address: 6355 NW 36th St suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: 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 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 len er or an attorney before
commencine work or record—int vour Noice of Commencement. __-) O
as
STATE OF FLO,�IDA STATE OF FLORIDA
COUNTY OF 'QSh LA-LQ.re COUNTY OF 9t5}- IiX A 0--AP
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this day of- 20 �1y this day of r(�i71bGV , 20 by
Michael Heissen4M Michael Hsissenberg
(Name of person acknowledging j (Name of person acknowledging )
`(Signature of tPlary Public -State of Florida ) kignature of Nbtdry Public -State of Florida)
Personally Known OR Produced Identification Personally Known J .11/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
c, Commission No.6114 7�L[ Halegh Short Commission No. &—(;n _YP'4 Short
NOTARY PUBLIC NOTgRy port %S
FLORIE
Revised 07/ 15/2014 Lfr
e to a Expmi e 5 z5�20 1 E 7 ile EXp re 5 Gs 83 y?
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS