HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONl
ALL APPLICABLE INFO
(�MUSTT�BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / (7° d' Lq , SC BN�NED Permit Num �7
M-_ 4 St. Lucie County IRELEIVED
Building Permit Applicatior OCT B 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
It P-Swential.-
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 10152 S. Ocean Dr. #618 B
Legal Description: ATLANTIS CONDOMINIUM BLDG B UNIT 618B AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 3528-1417)
Property Tax ID #: 4502-803-0055-000-8
Site Plan Name:
Project Name: Anteau
Setbacks Front Back: X Right Side: Left Side:
bETAILE6' DESCRIPTION QF'WORK.' °
install 2 accordions
Lot No.
Block No.
CONSTRUCTION INFORMATION:
dlona wor to e e orme under tispermit—Checka
apply:
LIHVI
F] Gas Tank
❑Gas
Piping
Shutters
❑ Windows/Doors
11 Electric El Plumbing
Sprinklers
Generator
0 Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 2,530.00
Utilities
Sewer
0Septic
Building Height:
OWNERfLESSEEa' uw' uvx, a .
CONTRACTOR:°•°u
Name Daniel Anteau
Name: Michael Heissenberg
Address: 515 Ave DeLafayette
Company: Expert Shutter Services
City: Monroe State:MI
Zip Code: 48162 Fax:
Phone No. 734-755-0424
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 an 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.
iSUPPLEMENTAL CONSTRLICTION.LIEN LAW INFORMATION,`
DESIGNER/ENGINEER: _ Not Applicable
Name: Tiltecoinc.
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 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:
1 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 topbtain financing, consult with lender or an attorney before
Signature of Owner/Lessee/Contractor as Agent for Ow er Signature of Contractor/License Holder
STATE COUNT F FLORIDA C . J_ I C I't STATE OF FLORIDA LIA COUNTY OF ._J,1� V` l• COUNTY OF
The or�oing instru en was acknowledged efore me TheG�fo�going instrxment was acknowledged before me
this !!' day of 20 by thi2 11.. day of CJC-i-O�/ , 201 ^� by
Michael Heissenb�lg I Michael Hslssenberg
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of Notary Pu tic- State of Flori
V
(Signature of Notary Pu9c- State of Flori
K Personally nown OR Produced
Identification
Personally Known Pr 1�1(jRa1f'
Type of Identification Pr
Type of Identification Pro ce otL{�Nctzry p,mlic Stare of Flbode
Commission No. `t^
Notary Public State of Florida
Heatil5evikzo
k; Heather Vizzo
Commission No. �+ AV c�oZZ 262653
.
lSl J� �ija M1�'`
Ex Commission 11/1 12 22 262653
Expires 11H3/2022
Cn abab5 3 ate°- Expir s
_
Revised 07/15/2014
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