HomeMy WebLinkAboutCanterburyALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Per Mit Number,
Building Permit Application
Planning atd Development Ser'vrces
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 452-1553 Fax: (77/2) 462-1578
PERMIT APPLICATION FOR: Shutter
Commercial x Residential
PROPOSED IMPROVEMENT LOCATION:
Address: 9600 S Ocean Dr 709 Jensen Beach, FL 34957
Legal Description: EMPRESS CONDOMINIUM UNIT 709
Property Tax ID : 4502-620-0054-000-0 Lot N o.
Site Plan Name: Block No.
Setbacks Front
Back: Right Side: X Left Side:
DETAILED DESCRIPTION OF WORK:
instal! 2 accordion shutters
CONSTRUCTIONAN FOR MATIGN:
iditional wor
C�HVAC
Electric
to e e Qrme under t is permit -- c ec a apply:
Gas Tank I lGas Piping � Shutters a Windows/Doors
❑ Plumbing IL Sprinklers � Generator ❑Roof I Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: 11805.00
, Ft. of First Floor:
Utilities: ------,Sewer � Septic
Bu '11ding Height:
OWN * CONTRACT -OR:
l
N a me John A Canterbury (TR) & Nancy M MacMillan (TR) game: Michael Helssenberg
Address: +10 Aurora Ct. Company: Expert Shutter Services
Doylestown State : P �� � Whitmore itmor r
City: - _ - --- -. ---
F P��C ant Lucie FL
Zip Code: 101 Fa City
Phone No.
267-337-0342 ZipCode: 34984 Fax: 772-871-0990
E- a I l:----- 1
Phone No. - 1-1 1
Fill in fee simple Title Holder on next if d'Ifferent E-M i l. Call expert@aol.com
16572
from the Owner listed above) State or County License.a
if value of construction is $2500 or more,, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
V-0
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:
Name: T-11teco Inc.
Ad d r: 6355 NW 36th St Sum 305
C1tyVirginia Gardens State: FL
Zip: 33166 Ph,one: —
FEE SIMPLE TITLE HOLDER:
Not Applicable
_Not Applicable
Name:
Address.
City: State.
Zi Ps Phone:..
BONDING COMPANY:
Name, Name,
-
Ad d r .�� Add re :
ity: City.
y
Z JP* z I P: Phone:
, b Phone:
- --
_Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
LucieCount makes no representation that i granting permit ill authorize the permit holder to build the ���� t trutclre
which is in conflIct with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
Plea consult with our Ho Owners Association and review your deed for are restrictions which may apply.
structure.4�
of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
Ireconsiderationp
ire accordance with the approved plans, the Florida Building codes and St. Lucie County Arnendments.
The following buildingpermit applications are exempt from undergoing a full concurrenc review: morn additions,
p p�
accessory structures swimming po ls, fences, wails, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and pasted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
cammencin work or or ourMoflce of Commencement.
t for Owner
STATE OF FLORIDA
COUNTY OF$(. Lude
�"hP f Ding instrument was acknoU�ladged before me
this day of � � � � 20 by
Michaol Heils e n q
(Name of person acknowledging
114
(Signature of Notary Public- State of Florida }
Personally Known wn -- OFF Produced Identification
Type of Identification Produced(I
S
Signature of Contr ctorf License W4�/
STATE OF FLORIDA
COUNTY OF
The fo aing instrument was acknowledged before me
A
this day of � � 20 Z,6 by
Michael H i enher
(Name f person acknowledging
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced �
Commission Na. 01(k `J "Llv� (Se��YaY� 0`Bri�rCommissior� No. (,\��0J���l !
Revised 07/15/2014
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STATE J
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SUPERVISOR
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