HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r�I' I
Date: SCANNED Permit Number: I Q I11/�1� - ca-i t
BY
St. Lucie County
� RECEIVED
Building Permit Application FEB Planning and Development Services ru 9
Building and Code Regulation Division permitting Departure,,,
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
P'ROPOSED'110FROVE(t L,NT LOCATI{)N
a t
Address: 10152 S Ocean Dr #317B
Legal Description: ATLANTIS CONDOMINIUM BLDG B UNIT317B AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-803-0024-000-2
Site Plan Name:
Project Name: DeCarlo
Setbacks Front Back: x
I Install 1 Roll Shutter
Right Side: Left Side:
Lot No.
Block No.
CQNSTRUCTtQN'
INFORMATION:
rtiona wor to e e
[1HVAC E]
orme un ert -Checkispermit
Gas Tank ❑Gas Piping
a
appy:
Shutters
Windows/Doors
Electric OPlumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 1,929.00
Utilities
Sewer Septic
Building Height:
:OWNER/LESSEE: ` � '� �. ; ` '
CONTRACTOR:
Name Philip and Lisa DeCarlo
Name: Michael Heissenberg
Address:? Haynes St
Company: Expert Shutter Services
City: Staten Island State: NY
Zip Code: 10309 Fax:
Phone No.917-531-2229
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 $2500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMEtUTA1 CONSlRUCTtON LIEN LAV4l INK RMATI'" A
DESIGNER/ENGINEER:
Name: Tiitecolnc.
_ Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 6355 NW 36th St suite 305
Address:
City: Virginia Gardens
Zip: 33166 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x 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 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
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFFS U( i? I COUNTY OF �" r ( A is rp
The forgoing instr�ent as acknowledged before me The forgoing instrument was acknowledged before me
this `t day of , 20 aby this _�L day of f?—e) 20 L by
Michael Heissen4M Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
`(Signature of` l�O'tary Puuilic-State of Florida ) $ignature of 1of
Personally Known b` OR Produced Identification Personally Known
Type of Identification Producced� 'H Type of Identifical
Commission No. t al alelgh Short Commission No.(
NOTARY PUBLIC
STATE OF FLORID
Revised 07/15/2014
Expires 5/2512021
Public- State of Florida )
"c OR Produced Identification
NOTARY PUBLIC
STATE OF FLORI
Comm# GG14834:
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SUPERVISOR
PLANS
VEGETATION
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MANGROVE
COUNTER
REVIEW
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