HomeMy WebLinkAboutBuilding applicationAEI APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
`
Planning and DevOopment Services
i3uilding and Code Re Motion Division
0 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) -1 Fax: (772) 462-1578
PERMITTYPE: Shutter
Permit Number:
Building Permit Application
PROPOSED IMPROVEMENT LOCATION:
Address: 8403 Fort Pierce Blvd.
Commercial.
Residential X
: �3fl1-��8-4127-ODp-9 Lot No.
Property Tax ID #
S-ite Plan Name-, Block No.
Project arse. Morclas--
CONSTRUCTION INFORMAT
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Additional work to
be perfvrmed under this
permit
—check
all that apply:
Mechanical
� Gas Tank
� Gas
Piping
X Shutters VIIECIdoWS'DoOiS
Electric
Plumbing
Total q. Ft of Construction:
Cost of Construction: 5 14292.00
Sprinklers
OWNER/LESSEE:
_
Generator
Roof Pitch
. Ft. of First Floor'.
Utilities: Sewer � Septic Building Height:
C0NTRACT'0''R'.:''
Name Eugene Mordas I ar : Michael l Heissenberg
Address: 8403 Fort Pierce Blvd. Company, Expert Shutter Services
City-, Fork Piero : FL Address ; 668 SVV Whitmore Dr FL
Zip Coded.d. 34951 Fax: !city-, Port St. Lucie State:
Phone No, 203-681-1564 Zip Code: 34984 Fa:
F Phone No 772-871-1915
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• �differentICIail prr�its@pl�r�ttr`or���I� �r� �� rr p� Trtl� ���dr n rat � � r� �-
from the Owner listed above) t ate or
County License 1
6572
if value f construction is 50
or more., a RECORDED Notice of Commencement is required.
If value of H "is $7,500or more., a RECORDED Notice of Commencement is required.
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CONSTRUCTION=.Ici�
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DESIGNER/EN GINEER'.
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MORTGAGE
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Not Applivable BONDING COMPANY .Not Appflu ble
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OWNER/ CONTRACTOR AFFIDApplicaflon'ihereby v e top obtain a permit to. do the work and i n t l f *tn as indicated.
1 (.'ertify that no vvos-or installation irl s t,_orrtnienced priix tO the i LICA f a permm,,tt
t. Lucie Cou n ty makes no rep r es entati on that i s gra rating a permit will a u thorthe permit h n i d er to b u I I d th o subject stru ctu
i is in conflict with any JpPlicable Home Owners Assocfation rules, bylaws or and covenants that nnay restrict or Prohibit such
r �, r . -Please ors It with your Hame O €i 'r A l i �� and review your. deed for any rests* 1TI� � l_
In cap,I d e, ra ti on of the granting of t 't S v eq u es t ed Permit, I d o hereby agree that I w 111, i n a I I respects, perform tht work
in i1ccardance with the approved , the FforidaCodes and St. Lude, Countvnrnt .
The foilowing building permit appi1c,--)tjons ate exeimpt ITOM Undergoing a full concurrienicy review: rooi,n addid,� $
accessory structures, swimmling podis, fences'. walls,, signs, screen rooriis and accessory uses to another non -re ' ni l use
"WARN"WARNINC TO OWNER*' H. R RECORD NOTICE rPAYING M RESULT N OUR
TWICE FORIM -5 1� YOUR PROVEV. A NOTICE OF CONMEVYCEMENTMUST E E
POSTED ON THE JOB StTE BEFORE ., F111ST INSPE(110NA* if YOU INT'END TOOBTAIN FINANCINGS CONSULS'
WtTH YOUR LENDER f R RAIN ¢� NOTICE M:Mf E
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i�� � pure f Owner/ I- n tractor n f { t Owner � Signature f � t �r License Ho, !der
STATE OF FLOR, IDA
1 COUNTY OF
The focgosrig instum)ent was acknowleft
cf, before me
this •0
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by
Name of person rn�iklng statement,
Personally Known
Type of fr�entfficatiar�-...... _.Pcoduced
OR Produced I 'If i a t
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DATE
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RECEIVD
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DATE T
,C7MPl`c? (ED
STATE OF Ft ViDA
COUNTY OF_
T �i-ie e
th1,� '- day
9
Name of person making statememt,
Personalj'y Known �rOR Prod ! Idea tj"iir '1'ype of Identification'
Produced
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ignature o f iary Public,- State of Fly 'S
NOTARY PtJOLIC!!
Commission l
ATE OFFLORID
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PLANSI VEGETATION SEA r L E M N G 11 0 VE
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REVIEW REVIFW REVIEW
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