HomeMy WebLinkAboutOrlando applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Plonning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue,Virgin Fore Pierce FL 34982
Phone: (772) 462-155 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMITTYPE:1 Shutter
PROPOSED IMPROVEMENT LOCATION:'
Address: 6803 Fast Ter
Property Tax ID #: 345-705-0414-000-8
Site Plan Name:
Project : Orlando
DETAILED DESCRIPTION OF WORK:
Install 1, accordion shutter
commercial Residential x
CONSTRUCTION INFORMATION: .. ....
Lit No.
Black No.
Additional work to
be performed under this
permit
— check
all that apply:
�Mechanical
_Gas Tank.
_Gas
Piping
X Shutters Windows/Doors
Electric
Tota I Sq. Ft of Co n tru cti nb
Plumbing
Cost of Construction: a861.00
_Sprinklers
Utilities:
Address: 6803 Frost Ter
Cit Port St Lucie State: FL
Zip Code. 34952 Fax:
Phone No. 772-465-7998
E -Mail,,
Fill in fee Simple Title Holder on next page if different
from the Owner listed above)
Generator
. Ft. of First Floor,
Roof Pitch
_Sewer � Septic Building Height:
Company. Expert Shutter Services
Add r: 668 SW Whitmore Dr
City: Port St. Lucie State. FL
i Code: Fax.
Phone No 772-871-1915
E -Mail permits@expertshutters.com
State or County License 16572
If
value
of
construction is
$2500 or
more, a RECORDED Notice of Commencement is required.
If
value
of
HVAC is $x',500
or more,
a RECORDED Notice of Commencement 'is required.
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•
`UPPLEMENTAL C0. NS'TR UCTION LIEN LA'W INFORMATION',
----------- .. .. ...
DL.S- 16NER/ENGINEER, Not App11(-<i[_,)1(�?
MORTGAGE COMPANY.. Not Applicable
N M * Uetx).
_._
Name
4
3( 15d
Acldres5** 6365 Nw 36th. s", ssu Address -
C1
ty-
State City* -State
i 1 fifi
Phone 71 p .6 Phone -
R -MI
. ...................
FEE SIMPLE TITLEOLDER-- Not Applicable BONDING C Not Appliuble.
Name.
A d
de'.
t,
city*j
Ph(me:
P * __-*I _. .__ - — ---- ......
Address:
C I t v
Z It
!P: P hoes 0_dvv
............. .............
OWNER/ CONTRACTOR AFFIDVIT: Applicat,ion 'is hereby made. to obtairt �i P,ef-rolit', to do the work and'nstallat' i dcated.
1 li�)Tl -suimce of�,a perm't.
'tify V vvork- has commt--incedurio-t to th(-:1 i's 1,
St. Luclf-.-C_-OUMV frnakes no t'epresentat-lo prantirlP Pern-ld- wtill'. authorize, 'the holder to build thc, str(jCLttj-rE'
1 0- W t h. a 11 -n e 0 �v n`e ri A- flflC'S WS Of -aind covenar)tq that may reser'' of - prohib't suth
W h i ch i.s i co ifi` I �fvficable Hot
byla
y
,;SOC
flVj W'ry0tj(' &,��d
-iy re,-:tv do Wh i rT) apply
structure, Piedse t-.orisult wJri your Hon -ie Own(-_rs A i;.mion and r. for at 0 n s 0
do hereby tha 'n all respec-ts, perform. the work
In consldc.�ranon of the grCanting, of thf-S reqOeSte(I pf"(1-11 .1 agree t' W111 I
in accordance with the approvpd olans., the Flori& 1: c-11 rig Codes ano St. Wdc (r),tinty Afnc-ndmwnts.
The 'tollowing building per niit appfication•s, are c.Lxernpt frn undefgoing a full concuri-enc y rev'iew., !,aoni add'
1 jj• tj
"es -c ... -h r- no0-res'de
f'y Ll Sf�--iol e
-sit dj k_
essory structures, swim M 01'. fcncc vvifl�':1wiy sc --en rooms and
9 P-0 :A
"W_AR NINC TU O"NER.w YOU14 FAILUkE, TU RECORD A NOTILE. OU COMMENCEMFNT MAY RESULT IN YOUR PAYING
TMLIL FOR IMPROVEMENTS TO YOUR PROPURTY. A NOTICE OF COMMENCEMENT MUST BE RfECORDED AND
POSTED ON THE JOB SITE BEFORE THE,. W45T INSPECTLION. IF'YOU INTEND TO OBTAIN FINANCINCI
Yf IT" YOUR LENDER. 3- ORNEY FORE RECORDINC YOUR NOTICIE OF COMI'.N MENT/
........... ......
--- --------wr
-
IT •
Ie
WiN
boubj'" ......... .......
Signature of Owner/ as Age'rit 4f- Owrier I i c, e n s K.1
of Cowt v Holde. r
I (�TATlr Cir 1:1 (1P111A I CTAYC flr C1 nOMA
COUNTY OF
The fotoe_Otlng*lri,;,t.jf,t,t was acxnow10p,-?d P or
f e me
th
s
-)y icl;)y of
Name of pr_r,>On making statern nt.
C0,41
Personaliv Known OR Produced Went 1 catl�
Typcof 1dentjf1cr,3-.-!,,j(%-
+
No#=a._iry Public- State, c)f
t4ovR
Ov FwR01
COUNTY OF
CONSULT
The forgoinginstru ent wa, �i acknowl edged lie fore m -e
t h's
N-.-�-rro of pe.r�on Making statenieInt,
Personally- Known OR Produced ldentifirafi
ion
Type
Prod
dpi .�
(Signature of Notary Public_ State of Flot
NOTAFZY PL)LIL10
t,.omrrission r4 7 N- o
-------- v TATE OFFLORID
Convy)# GG2:P180,.-8
-
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"
M L V I LT 1 1 IORq U
DATE'
RU"FIVED
COMPLETID
j " W
ILVI�,w
L,UUN I tK H%
...........
.. ..... .. .. ..
PLANS
REVIEW
VL-GETATION
REVIEW
SEA "FURTLE
REVIF--W
ILI ri "T,
R E VI E W