HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 �`� 5 Permit Number: 50 5 J dam$
�o
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
PROPQSED IIVIPROVEIVIENT LOCATION:,,'
Address: 10152S OCEAN DR 2186
Legal Description: SATLANTIS CONDOMINIUM BLDG B UNIT218B AND PRO-RATA SHARE IN COMMON ELEMENTSAND DOLLAR VILLAS CONDOMINIUM E-UNIT 603 AND LIND PRO-RATASHAREIN COMMON ELEMENTS
Property Tax ID#: 4502-803-0015-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Michael J Seymour
Setbacks Front Back: Right Side: Left Side:
4 ,
D'ETA°IL'ED�DESCRIPI-ION .OF WORK
11 w-1
Install 2 Accordion shutter
CONSTRUCTION INFORMATION
y t.
Additional work toe e orme under this permit—c ec a appy:
E1HVAC Ei Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric 0 Plumbing []Sprinklers Generator 11 Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2038.00 Utilities:Cn Sewer Septic Building Height:
,OWNER/LESSEE.' �` � CONTRACTOR:-
Name Michael J Seymour Name: Michael Heissenberg
Address: 10152 S OCEAN DR 218B 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:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: callexpert@aol.com
from the Owner listed above) State or County License: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
k <'w . ,, a•
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 thepermit 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
commencing work or recording our Notice of Commencement.
K �
441 s 1
S
_Signature of Owner/Lessee/Agentl Signature of Contractor/License Hold
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY O F si Lucie
The fggoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this i�day of ":1 20 L*�Cby thi4qp� day of SIA-./ 20j-,S_by
Michael Heissen4M Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
f� qJ 3V
(Signature of Notary Public-State of Florida') (Signature of Notary Public-State of Florid
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VIZZO ,I jEATHER VIZZO
Commission No. PUBLIC Commission No. &1OTARYPUBLIC
STATE OF FLORIDA STATE OF FLORIDA
L;Omffw F176266 • C=M#FF176266
Revised 07/15/2014 a ie�0 Expires 11/13/2018 i Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS