HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED " 1 �j {�
Date: Permit Number: L OV1,13
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Building Permit Application MaR aglo�s
Planning and Development Services Pew` ^9De�^^�cYe^t
Building and Code Regulation Division St. W
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:-;'
Address: 10152 S OCEAN DR 316B
Legal Description: ATLANTIS CONDOMINIUM BLDG B UNIT316B AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-803-0023-000-5
Site Plan Name:
Project Name: Andreala
Setbacks Front Back: x
Right Side:
Left Side:
Lot No.
Block No.
Install 1 accordion shutter and 1 roll shutter SCANNED
BY
St. Lucie County
CONSTRUCTIONINFORMATION:
Aclaitional work tone e orme un ert ispermit—checka apply:
�HVAC 11 Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator 11 Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3,674.00
S Ft. of First Floor: _
Uti lities:12 Sewer O Septic
Building Height:
OWNER/LESSEE: '
CONTRACTOR:. _ -
NameAnthony and Dolores Andreala
Name: Michael Heissenberg
Address:17 Fern St
Company: Expert Shutter Services
City: Middletown State: NY
Zip Code: 10940 Fax:
Phone No.845-325-4240
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCT.ION.��.
,, L-AMNIF RMAPO,N "- "
ab. 0*
L P u
DESIGNER/ENGINEER: Not Applicable
Name: Taecoinc.
MORTGAGE COMPANY:
Name:
x Not Applicable
Add resS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone: -
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
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 inteii��ii to obtain financing, consult with lender or an attorn y before
commencing wor r re rdiD¢ vour,lflbtice of Commencement. i1 „
Signature
STATE OF FLOT. STATE OFLump COUNTYOF O�-�AL(,(
COUNTY OFF }
The for oing instrument was acknowledge efore me The forgoing instrument was acknowledged before me
this day of 20 by this day of_MQ.� , 20 � by
Michael HeissenbQrg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
3%ALw p ` _ 1. U04ka&n l
(Signature of Notary Public -State of Florida) (Signature of Notary Public- State of Florida )
Personally Known ✓ OR Produced Identification Personally KnowrV OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
M Shanon O'Shea
Shanon• O'Shea _ NOTARY PUBLIi
Revised 07/15/2014 oSTATE OF FLORIDA .0 Comm# GG25803
�0 Comm# GG258030 Exoires Qm2/2n9
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
DATE
COMPLETE
INITIALS