HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Iqo@ _0a
Date: SCANNED Permit Number:
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® St. Lucie County
Building Permit Application RL=c�rveA
Planning and Development Services
Building and Code Regulation Division Ffg j; T 10
2300 Virginia Avenue, Fort Pierce FL 34982 Pemuttin 'o
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential st. Lucie clrent
ty
PERMIT APPLICATION FOR: Shutter
;PRU uOED MtOlEfViNT,L01rf tO N ' _� t f ` a, r s x :€ u j
Address: 10152 S OCEAN DR 715B
Legal Description: ATLANTIS CONDOMINIUM BLDG B UNIT715B AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-803-0062-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Page
Setbacks Front Back: X Right Side: Left Side:
Install 2 accordion shutters
11HVAC Ii Gas Tank Gas
Electric 0 Plumbing 0Spr
Total Sq. Ft of Construction:
Cost of Construction: $ 2,688.00
mt— cnecxau appiy:
Piping _Shutters
nklers Generator
_ Saf �Ft. of First Floor: _
Utilities:In Sewer O Septic
Windows/Doors
Roof = Roof pitch
Building Height:
01r"�E,LSSEC
CbNTRRTOR
Name Roger J Page & Alice Page
Name: Michael Heissenberg
Address:10152 S Ocean Dr Apt 715B
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 860-869-1888
Address: 668 SW Whitmore or
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 $z5uu or more, a RECORDED Notice of Commencement is required.
t Pi 11� TA CO[�fSTRUGft{)N LIED LAW I If
ORMATION o� $ RT 4
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DESIGNER/ENGINEER
_ Not Applicable
MORTGAGE COMPANY:
r Not Applicable
Name: Tiltewlnc.
Name:
Address: 6355 NW 35th Sl Snite 305
Address:
City: Virginia Gardens
State: FL
City:
State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
= 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 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 recordipfbvour,Notice of Commencement.
STATE OF FLORIDA STATE OF FLO IDA
COUNTY OF �{ I�VrC a2 COUNTY OF ? i A IC i-P
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this \ day of R.(J . 20 Jgby this __L day of f:L8 20 � by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging ) (Name of person acknowledging )
State of Florida )
Personally Known bt OR Produced Identification
Type of Identification Produced
1 / Haleigh Sho
Commission No. ( NOTARY PUBI
STATE OF FL(
of NoFlary Public- State of Florida )
Personally Known pL OR Produced Identification
Type of Identification Produced
No.a(!�11gZnq Z (Seal)
SYryTr 09 Expires o14014 namryn anus
Revised 07/15/2014 NOTARY PUBLIC
STATE OF FLORIDA
a Comn
# GG148342
REVIEWS
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VEGETATION
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