HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginlo Avenue, Fort Pierce FL 34-982
'hone: (772) 462-1553 Foix: (772) 462-1578
PERMITTYPE: Shutter
PROPOSED IMPROVEMENT LOCATION:
Permit Numr-.
Building Permit Alpplication
Commercial Residential x
Address,., 5361 Southward TrI
Property Tax ID : 1407-341-0010-000-3 Lot No.
Site Plan � Block No.
Project Mame: Michener
DETAILED DESCRIPTION OF WORK:
Install 3 accordion shutters
CONSTRUCTION INFORMATION:
Additional work to
be perfo rmed under this
permit --
check
all that apply:
Mechanical
_Gas Tank
_Gas
Piping
X Shutters Windows/Doors
Electric
Total Sq. Ft of Construction:
Plumbing
Cost of Construction: $ 51382.00
OWNER/LESSEE:
___.___ -1 -- ------------
e Margaret A Michener
Sprinklers
Generator Roof
, Ft. of Firsts Floor:
Utilities: � Sewer _Septic Building Height:
Address: 5361 S uth ind Tr I
city. Fart Pierce State: FL
Zip Code. 34951 Fax:
Phone No. 772-463-7320
E -Mail:
Fill in fee pimple Title Holder on next page ( if different
from the Owner listed a�bove)
Pitch
Address: 668 Ste` Whitmore Lir
City. Fart St. Lucie State. FL
6
Code:Zip
34984 Fax:
Phone 772-871-19,15
E -Mail perm it @ prtshutt r m
State or County License 16572
if
valluef
construction is
$2500 or
more, a RECORDED notice of CommeMernent is required.
if
value
of
HVAC is $7.,500
or more.,
a RECORDED Notice of Commencement is required.
.•4- W.,w
SUPPLEME'N"I"AL LIEN LAWINF'
ON.
S NE R/ENGINEE W: N(, - )t-. Applica- ble
MORTGAGE C-OMPANY: Not Applfibec.
Narne-
........... N a
655 NOV 36th 81 Ssu�ir,
Address: Addx
cY
ty" Virginia Gardens
awn Statc-�.k:
zip" Phone
-WWWWWWWONW-K. . ...........
.............. _ .......
Al-,)pficable
FEE SIMP11 TITLE HOLDER.. Nil
Na- -----------------
City*
------------- ------
Z . I P P h o
.................... . ..........
State.
.................
ZIP+
............
BONDING COMPANY.
N.}
C S
city,
Phone,,-
. . . . ... .. . .. . . . . . . . . . ; . . . . . .
AL
ER/ TRACTOR AFFIDVIT-'.. Application is y made- to omain a pe'rMit to do the work and insta- Itati
lot) as tridicatpd..
I rtrlfy.t� A.t ce r.
f a PcrM't# wo6 or in-stallatl'cn, has (,.ovyii ed prior to ttle issuanicc, 0 1
....... -..Not Applicable
4
v nna I ing SUD) t SVOCWre
L.Ucie Count kes no tzh�it is eranfi d %Vill at-ithorize the pc.,,ri-n't holder to build thE, ec
wl hich isin conflict with any .)flcable Howe Owners Asscx,,-I'ation I'LlIes by'aws or and TWO, 01
COVE11)�Ints that may rest `6
e', P(*�aSUL C01I.SUlt WIth �t(jjjr Own.ers Assor, ation aod re i , ions which
I ( (i P_ ed fo r a n y rest rc 0 Mil
In spcts, erform the wo? consideration of the gy�anting of this req ;Aested pemit. I do ree e herc�by at, atht I will.; ae pk ll re
t St '_(t C-OLITIty Amendments.
�'h the. approved plans, the Flor'da Bu'laing Cod ?s ano. WC]
in accorc,,;�ince wrt, t I
t
Th e- foil owing, buildi np �411 I :L IT -0-411 Unde�go'rigja full coixurrency i-c--Mew.room. additions
pe it applIcations are exlp.�Mpt Jt
es.?)-.(:)ry.structure_s, sw niaimg poo --s, fences,, walls, signs, s�.xeen rjoowrs, and accessory uses,:k to C -mother non-residential use
'WARNINC TO OWNIE,R* YOUR FAILURC:_ 'TO UECORD A N0110E OF COMMENCEMENT MAY RESULT IN YOUR PAYINC
TWKE FOR IMPROVEMENTS TO YOUR PROPE Y. A NOTICE OF COMMENU.MENT MUST BE RECORDED AND
POSTED ON TM JOB SITE, BEFORE THE,, FIRST INSPECTION, If YOU INTIENID 10 OBTAIN FINANCING,, CONSULT
ICU"
WITH YOUR LEN -DUN 4 4: ,N ORNE J,Sfff R F RECORDINC YOUR NOT11LE 0 F co"PI,
.. ........ .... ......
41
r v .wA-x-aw.vsaever+aav
signaturc; ctf Ownejr/ t.essee /Cori
Ag. ent f
STATE OF FLORIDA
C0 U N T Y OF
"I
r Owner
The for goitip, int-t'f- ot was acknowledgc_)Ll biefore, me
phis
L a�y 0
d f b y
Niame of pe,rson making statemeril.".
H y K n ow n 0 R P ro d
rTS on a.. _u
ype ofldentffication
Pro&ced.
N I
1A
6"W"04W, WOO ON
-I g .
nU 11 ( 7,7 V�'
................ Signature of Notary PLJb1'1r,- S -tate
Rio -
01: F0
4x
C N S
I e4z YJ
r
- v-.7
Signature of Contr:actor/Llcel.15t�?
STATE OF FLORIDA
GOUNTYOFSt
r u e, n t was. k si ov vs t) e: -f 0 tt -ne
T; NFe .room -, ins -e
t
d by-------------------------- -
— ---------------------- K
N:f-irrilre of per -son making staternent-
Keown OR Prd Identification
Type, of' Identi f icatiorl
P rod u c e
rN
ti
'ShanO n.
Notary PLI bi C tate of Flo,
I IBLICI
NOTARY
'FLORID
8T.
Conlnli.�s on No TATE Of
ciomm# GG2580,
8048
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ImrV I P /\ It vv� t- 11 (-,) IN i 1.0 N I N �,i 1, "
R
C 0 L) N]" E REVIFW IEW REVIEW
DATE
RECEIVED
......... .
DATA.
COMPLETEl") 1
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