HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB/-L�E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /,
Date: f v r Permit Number: ��y� —0
% a
Building Permit Application
Planning 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
PROPOSED IMPROVEMENT LOCATION;
Address: 10102 S OCEAN DR 601A
Legal Description: ATLANTIS CONDOMINIUM BLDG A UNIT601A AND PRO RATA SHARE IN COMMON ELEMENTS
Property Tax ID#: 4502-802-0048-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Raul Paredes
Setbacks Front Back: Right Side: Left Side:
D"ETAILED DESCRIPTION01=WORK
Install 2 Accordion shutters - ( less.
CO(, STRUCTIOIV INFORMATION
Additional work to be ertormed under this permit—check all appy:
EJ
HVAC Gas Tank Gas Piping [VI Shutters Windows
Q Doors/
Electric 0 Plumbing Sprinklers E Generator 11 Roof
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 6201.00 Utilities:Cn Sewer ElSeptic Building Height:
ONWNER/LESSEE CONTRACTOR
Name Raul Paredes Name: Michael Heissenberg
Address:10102 S OCEAN DR 601A Company: Expert Shutter Services
City: Jensen Beach State:FL. Address: 1626 SW Biltmore St
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No. Zip Code: 34984 Fax: '1'12'84
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail:QG0( O%Jpe,4 Gr Ao`( ..c,o%
from the Owner listed above) State or County License:r-41 U41 Z..
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
U1
S:UPPLEMENTAL-'CONST'RUCTION LIEN,LAW,INFORMATION'
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable5
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: Not Applicable
Name: 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 obt Wi financing, consult with lender or an attorney before
commencing work_GnrecordingWur Notice Commenceme
S
_Signature of Owner/Lessee gent Sig t of tra or/Lic nse Id
STATE OF FLORIDA STATE OF FLORIDA
COUNTY O F et Lucie COUNTY O F st Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ►day of Aro,-'l 20 15by this'?91Kday of Pili.LL .20 f��by
Michael Heisse4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
.
c:::) 0�&R& V
(Signature of Notary Public-State of F i a (Signature of Notary Public-State of FI
Personally Known x OR Produced Identification . Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. HEATHER V112M
t HEAVE* VIZZO r NOT�WOUBUC
NOTARY PUSUC « STATE OF FLORIDA
Revised 07/15/2014W-.1011SIC
Comm#FF176266 WNCE ire Expires 11/13/2018
Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS