HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
SCANNED
"., BY
® St. Lucie Countv R ECEZ
Building Permit Application VED
Planning and Development Services FES ,I'3 2019
Building and Code Regulation Division Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucle county
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter III
Address: 10152 S OCEAN DR 312B
Legal Description: ATLANTIS CONDOMINIUM BLDG B UNIT312B AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-803-0019-000-4
Site Plan Name:
Project Name: McDonald/Broome
Setbacks Front X Back: X
Install 4 accordion hurricane shutters
�HVAC U Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,089.00
Lot No.
Block No.
Right Side: Left Side:
mi— cneCKail
Piping _Shutters
apply:
Windows/Doors
nklers
Generator
1:1Roof
= Roof pitch
S Ft. of First Floor: _
Utilities:cn Sewer ElSeptic
Building Height:
¢�rY {a �%Y .a �`h .S �3 t° r-""r. nB�Y LeaCO
N T RACTOR
Name Herbert Broome & Ellen M}y McDonald
Name: Michael Heissenberg
Address:6051 VeederRD
Company: Expert Shutter Services
City: Slingerlands State: NY
Zip Code: 12159 Fax:
Phone No.518-772-8355
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 of construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
SUPPCEfUl1: AL;GONSTRUCTtON 11EN LAW INFOkm Ji i
t
DESIGNER/ENGINEER:
Not Applicable
_
MORTGAGE COMPANY:
x Not Applicable
Name: Tiitewma
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State: rIL
City:
State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Not Applicable
BONDING COMPANY:
Applicable
Name:
Name:
_Not
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con lict 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 inteQd to obtain financing, consult with lender or an attorpey before
commencing work or recordioe vou�'j<lotice of Commencement. �� /) 7/
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF2* LALC 1 E COUNTY OFF} UU6-P
The for&&oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1 day of 1- —6 20 lgby this I day of . 20 J-a by
Michael Heissenblim Michael Hsissenbe,g
(Name of person acknowledging ) (Name of person acknowledging )
((Signature of "ry Public- State of Florida )
Personally Known c< OR Produced Identification
Type of Identification Produced
Commission No. 66)1CiS3t('2 (Seal)Raleigh Short
'� NOTARY PILE
Revised 07/15/2014 :L�will
ik�2 CamrtdF GG748342
ip E 19n0 Expires 5/25/2021
of N6,tally Public- State of Florida I
Personally Known /' OR Produced Identification
Type of Identification Produced
Commission No.P1G7)L1 Z (Seal)
rd1RU, Haleigh Short
STATE OF FLORIDA
ComrtH! GG 148342
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