HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1dT� Permit Number: `s a —G 1(1
i _ REDE17'D OCT 12 1015
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
POO." ED IM" RaVIrMEI � LOCATION
Address: 5047 N A1A 1006
Legal Description: ATLANTIC VIEW BEACH CLUB CONDOMINIUM#1 UNIT 1006
Property Tax ID#: 1414-610-0054-000-0 Lot No.
Site Plan Name: Surfside Property Mgmt Inc Block No.
Project Name: f-Aol-f f"o✓s+e✓
Setbacks Front Back: Right Side: Left Side:
DEtAILED DESCRIPTION CSF Wt)RK
, ,, ,
_,. .
Install 1 accordion shutter
CGaiSTRUCTIaN iNFORMTiC+IV. G .. `` x
Additional work to be Derrormed un er t is permit—check all appy:
HVAC Gas Tank ❑Gas Piping �_Shutters I____L Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 6,551.00 Utilities:cnSewer Septic Building Height: 190'
o���R/LEssl��•f " coN�-�ACT�R �
Name Surfside Property Mgmt Inc Name: Michael Heissenberg
Address:32431 Mabel Ln Company: Expert Shutter Services
City: Leesburg State:FL Address: 1626 SW Biltmore St
Zip Code: 34788 Fax: City: Port St Lucie State:FL
Phone No.352-360-1779 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.
MORTGAGE DESIGNER/ENGINEER:- Not Applicable MORTG AGE COMPANY: X Not Applicable
Name:Name: L%Aikw Name:
r s7
Address:r"_
DESIGNER/ENGINEER:
&;J5 5 %:24% -$1- 5.44 -&.a< Address:
City:�. Vt ch, C,,rwr,*e,� State-_4E:y__ City: State:
ZIP:- 'S 1,1 Vy Phone: 1 L6, Zip: Phone:
31
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 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.
–4n--censideratI6n-of-the-granting-of-this-requested-permitF.1--d"ereby agreelhat-4-will;4n-all-respects-;-perform-the-work
'..in accordance with thd.approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following buildirigi'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 toyour prPpe y.A.Notice of Commencement must be recorded and posted on the jobsite
before the first inspect
i . you intend to qbtain financing,consult with lender or-an attorney before
-commencing work-or re-por In"ur Nati of Commencement
S .
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5ignSi1ireofown r/kqss &JA
Owner) e gpnt Signature of Contractor/Liq 9foqr, I/
STATE OFFLORIDA STATE OF FLORIDA,
COUNTY Qlc S,
COUNTY OFA
The fnrRoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
t higiN
Jay of 20 !Sby this-7Mdayof QCrrbAe,,- 20 f%S'by
Michael Hei..bkg Michael Heissenberg
(IVa of per n acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florl (Signature of Notary Public-State of Flor&d)
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
T. pe of Identification Produced
type of Identification Produced Ty
HEATHER VIZZO Ir THEIR V1220
Commission No. Eiuc Commission No. TARP
PUBLIC
ESTATE OF'FLORIDA �&VSTATE OF FLORIDA
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Revised 07/15/2014 Expires;11/13/2018 tot Expires 11/13=18
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
I COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS