HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: r
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
Address: 10102 S OCEAN DR 210A
Legal Description: ATLANTIS CONDOMINIUM BLDG A UNIT210A
Property Tax ID#: 4502-802-0017-000-7 Lot No.
Site Plan Name: Edward Finlay Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install 1 accordion shutter
OffiPonal"wor �eorme under app y-
❑HVAC
Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
0 Electric 0 Plumbing Sprinklers F]Generator Roof
Total Sq. Ft of Construction: Sci. Ft.of First Floor:
8�
Cost of Construction: $ 6,013.00 Utilities:0 Sewer 0Septic Building Height: 70'
New
Name Edward Finlay Name: Michael Heissenberg
Address:3107 SE Galt Cir Company: Expert Shutter Services
City:
Port St Lucie State:FL Address: 1626 SW Biltmore St
Zip Code: 34984 Fax: City: Port St Lucie State:FL
Phone No.727-237-2318 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: expertpermits@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.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: tkjw 1 l ;-Jr Name:
-Address: 5 �''w 3(a�'b, ��' 5 �� mai ' Address:
City: e o State: _ City: State:
Zip: 'bt Phone: '3o5 - S T-1 -L,631 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 d"-ereby agree-that Twill;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 inspecti . you intend to qbtain financing,consult with lender or an attorney before
-commencing work or re r in u.r Noti of Commencement.
&-aO� S
—Signature of Owner/Lessee/Agent Signature of Contracto.NLiceKe Hqfder.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St dude COUNTY OF sl Urge
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�5?�day of 1�;K.Q f 20 !Xby this ZS'Way of S!Se4 _ ,20 (dS by
Michael Heissenb&g Michael Heissenberg
(Na of per n acknowledging) (Name of person acknowledging)
4 LVIV—
(Signature of Notary Public-State of Flori (Signature of Notary Public-State of Flor' )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER VIZZO THEIR VIaO
Commission No. ARYPUBLIC Commission No.
I TARY PUBUC
STATE OF FLORIDA N�MSTATE OF FLORIDA
1
Revised 07/15/2014 t Expires 11/13/2018 4W Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INIT1ALS