HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPUICPUE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
)9 Date: SCANNED Permit Nurr
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ie Cr)t,,.
St. Luc
Building Permit Applicatio
Planning and Development Services
Building and Code Regulation Division
2300 VirginiaAvenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
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AUG 2 8 2019
Permitting Department
St. Lucie County, FL
I PERMIT APPLICATION FOR: Shutter I
Address: 10102 S. Ocean Dr. #506-A
Legal Description: ATLANTIS CONDOMINIUM BLDG A UNIT 506A AND PRO-RATA SHARE IN COMMON ELEMENTS
(OR 3199-2826)
Property Tax ID #: 4502-802-0043-000-8 Lot No.
Site Plan Name:
Project Name: Haft
Setbacks Front Back: X Right Side: Left Side:
install 1 accordion shutter
Block No.
JUlUUlldlWUlKLUUe
11
11 Electric
eiiwintu
M
unuer wis perinit — cnecK all apply:
Gas Tank 11G Shutters E]Windows/Doors
Plumbing 05prinklers 0 Generator D Roof
11
Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction: $ 1,684.00 Utilities.-CLI Sewer OSeptic Building Height:
Roof pitch
i 9" Y"Y P E_ V
Name Haft, John M. & Heidi S.
Name: Michael Heissenberg
Address: 10102 S. Ocean Dr. #506-A
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 8144404075
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 I if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
It value at construction is 5Z50B or more, a RECORDED Notice at Commencement is required.
�SUPPLEMEPA'�'
TAL CONSTRUCTION LIEN LAW:tNFO MATION:
DESIGN ER/ENGI NEER: Not Applicable
Name: Tiltecoffic.
MORTGAGE COMPANY: X NotApplicable
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 lender or an attorn
,r/ efore
commencing work-orrecoLding vc4r Notice of Commencement -
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 11� LU cl'-� � COUNTY OF 3�,
T . be�forfting instpilment was ack owledged efore me
q�)21-�day of F1
Michael Heissenlckg
(Name of person acknowledging
(Signature
Personally Known N
Type of Identification
Commission No.
Revised 07/15/2014
OR Produced Identification
Notat$eaqic State of Florida
eather Vizzo
y COMMi33lon GG 262653
Th TforW'ng instrAment was acknowledged before me
th:'Ll -dayof -11-
L PfU(I US 20 19 by
J_ —
MIchael Hsissenberg
(Name of person cknowledging )
9/z_�n h
(Signature of Notary Pu lic- State of Florida tl 4
Personally Known 7 OR Produced Identification
Type of Identification Produced
nmission No. rrUVb1lC State of Florida
0 ON Mea t zzo
y My Co mission GG 262653
REVIEWS
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SUPERVISOR
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