HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10�A Permit Number: 1516 —0045
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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: 10152 S OCEAN DR 615B
Legal Description: ATLANTIS CONDOMINIUM BLDG B UNIT615B
Property Tax ID#: 4502-803-0052-000-7 Lot No.
Site Plan Name: Dolly V Porter Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRCPTION;OF WORK
Install 4 Accordion shutters
CONSTRUCTION INFQRMATION
Additional work to be nertormed under this permit—check a appy:
❑HVAC Gas Tank
[]Windows/Doors
Pi i � Shutters
Electric 0 Plumbing ❑Sprinklers OGenerator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2,832.00 Utilities: _Sewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Dolly V Porter Name: Michael Heissenberg
Address:43071 Providence LN Company: Expert Shutter Services
City: Canton State:MI Address: 1626 SW Biltmore St
Zip Code: 48188 Fax: City: Port St Lucie State:FL
Phone No.772-919-5841 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 Nat Applicable
Name:�alhtkQ�1.11;k -"Sy Name:
._Address: ,s5 t''i-► , ��- �,k ?sob'" Address:
City: ,r ; Sfate: - City: State:
Zip: `B bt Phone:-- $T -t � 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 Counmakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflty ict 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.
consider-ation-ofthe-granting-ofthis-€quested-permit;-Fdo-herebyagiree-that+will;-In-aif-respects;performthe-work-
An atcotdance 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 anotheir_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 inspeeti you intend to q6tain financing,consult with lender or-an attorney before
-commencin work-or re r In ur Notiq6tif Commencement.
" s .
- S- nature of Owner/lesse _ . . Signature-of_....-- . ._.C.o.n-tr.act-o Li..c_ e Haft
)Aont. er- -
STATE OP.FLORIDA STATE OF FLORIDA -
COUNTY Q wCOUNTY OF s1Lwe
The fnrpoing.instrumerit was'acknowledged before me The forgoing instrument was acknowledged before me
this :qday of, ._20 1 by.. this day of .20 r 6'by
Michael fid.ntr6ng Whael HelssenbW9
(Na of pep"n acknowledging) (Name of person.acknowledging)
CA
�V
(Signature of Notary Public-State of Nor, (Signature of Notary Public-State of Flo )
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
HEATHER.VIT10 ER VMW
Commission No. PARYPuBur, Commission No. ARYPUBLIC
E OF FLORIDA STATE OF FLORIDA
Revised 07/15/2014 Expires 11/13/2018 a Expires 11/1312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW. REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS