HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �1a"�1�`1 SCANNED Permit Number:
BY
' St. Luce County =RECEIVEDBuilding Permit ApplicationPlanning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter — Co,,dB III
Address: 10102 S. Ocean Dr. #406-A
Legal Description: ATLANTIS CONDOMINIUM BLDG A UNIT 406A AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 3067-2677)
Property Tax ID #: 4502-802-0033-000-5
Site Plan Name:
Project Name: Przestrzelski
Setbacks
install 2 accordion shutters
Back: X
OHVAC I-1 Gas Tank
Electric El Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ $2,658.00
Right Side:
Piping
Sprinklers
Lot No.
Block No.
Left Side:
_Shutters ❑Windows/Doors
IGenerator 1:1 Roof = Roof pitch
5 Ft. of First Floor: _
Utilities:cn Sewer 0 Septic
Building Height:
xr i .
Name Przestrzelski, Karen & Frank
Name: Michael Heissenberg
Address:725 NW 156th Avenue
Company: Expert Shutter Services
City: Pembroke Pines
Zip Code: 33028 Fax:
Phone No. 305-978-9251
State: FL
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 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTl2t1CTION.UEN lAV1/ INFORMATION
DESIGNER/ENGINEER: _
Name: Tilteminc.
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:
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
commencine work or recordine vour Notice of Commencement_
as lYgbrit for Owner
STATE OF FLORIDA �� O �1 _1 n STATE OF FLORIDA �)
COUNTY OF M �COUNTYOF V
Th or ojng instrument was acknowledged before me
t ' %ay of 5D 2q _�_by
Michael
Personally Known
Type of Identifical
Commission No.
rGa�a�
Revised 07/15
State
OR Produced Identification
M1e of Florida
GG 262653
The for .ng instrument was acknowledged before me
t�l) -day of 20 L by
Michael Hsissenberg
Naryg of person
(Signature of Notary Public- State of Florida )
Personally Known " OR Produced Identification
Type of Identification Produced
No. .,V I 1 �p Public Stale of Florid;
a4 `"i 2iher vizzo
�// e e My C,MM,w,on GG 262653
7afo �w .- Fmires Jill W022
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