HomeMy WebLinkAboutHall applicationAN AFPLICAgLE IINF(3 MUST BE COMPLETED FOR APPLICATION T(3 BE ACCEPTED
Date:
fi -MI.'
�, • ! `•ter � �{...
Plortning and Development Services
Building ar+d Code ReguJotign Divisiafl
2300 Virginra Avenue, Fars Pierre Ft 34982
Phone: (772} 462-1553 Fax: {772} 462-1578
PERMITTYPEO Shutter
Permit Number:
Building Permit Application
PROPOSED IMPROVEMENT LOCATION;
Commercial
Residential x
Address: 8832 Champions VVay
Property Tax I : 3334-501-0075-000-9 Lot
Site Plan Name: 1mv.
Project Name
II
DETAILED DESCRIPTION OF WORK&
Install 1 r i n shutters
CONSTRUCTION INFORMATION:
Additional work to be
performed under this
permit
—chick all
that apply:
Mechanical
Gas Tank
_Gas
Piping
X Shutters Windows/doors
Electric
Plumbing
Total Sq. Ft of Construction: - — -----
ot of Construction. 7,933.00
OWNER/LESSEE:
Sprinklers
Generator
Roof Mt
Sq. Ft. of First FI,
Utilities. Sewer Septic Building Height. -
.....
Name Waltraud & Sterlin Hall,
Address 2 Champions Way
city. Port St. Loci r _ State: FL_
Zip Code:34,986
Fax.
Phone No. 772-873-001 6
E -Mail:
Fill in fie simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: Michael Heisenberg
Company: Expert Shutter Services
Address.. 668 SVV Whitmore Dr
City, Port St. Lucie State: FL
'Zip Code. 34984 Fax:
g
Phone o 772-871-1915
E -Mail
state or County License
E-
lf
valueof
construction i
2500 or
more, RECORDED Notice,of Commencement is required.
If
value
of
HVAC i $7,500
or more,
a RECORDEDotic f commencement is required.
I .
-TRU -"r'l""�NI-IENI.*A'WINF-O*"-NIA.iuN."*"
!S`U`PF`LEMENT'LC.�N'
.....................
DESIGN Eli NG NEER: ......... Nod- Applicable I MORTGAGE COMPANY: Not Applic-,.)ble
NarneI-,a,� �;':
Name.
16
Addres-,
Address: 6afj5 Nw 36th Ns, 31)5 . .....
------- - ----- - — -----------
tate
gaa Ga r�lens oly
C-Ity: st ate . ..... . . .....................
Zj 3 p
3 1 iZ Phone z" Phone.. . .
..... .
-----------------------
FEE SIMPLE TITLEH N ot App _i t
N a m
Add res- s:
C i t
4
7, Phone
BONUING COMPANY: ----Not Applicable
Address+
Cj tly al - - -------- ----
. .........
Phone,
...........
o4o "he, work and 'Installat`10n �1,s indicated
OWNER/ CONTRACTOR AFFID-VIT'.' Appfico_ifi'on is heret)vm.ade- to obtain a pel.-MI
I ce, r fl'f y Teat n o w o r k o r nr cp t a H i -A t i o, ri 1-i --J co m m e r -L c e d o r I o r, t (i t. h u tance of a permit.
f--�oldcn- to build the sUL'1jc?ct structure
v onting W -he pffmu
rr I I i ;;mthor t
St. Lu-cie (,amnt i akes no rep rese nt"i o r i th a t i r rp
, a pew
Ak I t. , bylaws or and covent-�nt,,; that ii�-,Ia,y r
Which is m con pct Citi any apoficab;e Horn;:� 0%v6evs _�soctat*orl it.)
I
eV" deed for any res-victions wf-iodi) may
structur(-�-. Ple�ase consult With your mome Owneli-&. Ac,.t;ociatton. and r IeW VOLM
11;
'djested erm'It, I do hereby dgrep. that I will, *n all rpspects, perfo;rm the work
1 n c o n � I ra t'o n. of t he p ti -a n -fi ng of this req p
ments.
t g
he approved jilans, tho F1on,d<-.,i P�ti"Iffin Codes and St., Luc'.(,) Col inty Amc
accordance vv'�h
i
r000i add'lt
Th.rp� following bu Wing 'rmit applIrptions are, lexempt from Underg0mg. �ir fu 1 f.ollt if _-m-icy rev ew,
pe
r r-
Adent'di Use
icl acces
fet-Ic-c walls i g ns o �,c c e e
structuresi �;Wjrnf Sj
"'"ARNINC TO OWNER' YOUR FAILURE TO
T"ICE FOR IMPROVEMENTS TO YOUR
POSTED ON 1HE JOB SITE BEFORE TH
WITH YOUR LENVF.`,R 0,WA1-1111U__A;q0RNEY
X,
Ix -
RECORD A N044CE OF COMMENC.EMENT MAY RESULT IN YOUR: PAYINC
PROPERTY. A NOTICE OF COMMENCEMENT MOST BE, RECORDEID ANID
4IRST INSPECTION.. IF YOU INTEND TO OBTAIN FINANCINGp CONSULT
�_-1:-IFORIE RECORDINC YOUR NOTICE OF COMMENC-1-6ME T
4*t
4,
...........
r
Tna Al
IP, -ture of Dwner/ I_ e, sse: tor a -s Agc it
STAT[ Of FL0RIDA
COUNTY OF
; .- Owner
knowledged bef0kv,f._! 111C
mstrumc,-nt was ac
The forgo'ng
hv th
I �- �. .4 20.) s o f _f
---------- A _�, .
Name of person rt)ci*ing staten,Wra.,
Porsonally Known OR Produced Id-entificatI0511
�'4'elk� of fden-LificatI00
Produced
. . .. . . . . . . .
A
16
ant•
'A Notary Public—(0 1 i� Signature o Wa
e7b2
of F1
CoM'm1ss'ionNo-(
AT F
REC.)
DATE
CONI'LETH)
... e...
FRONT
COUN-j"ER
ZONING
fN,NLVIFW
StPERVISOR
RE'vil"W
. ..........
:k- - __ - 1- A--- 5 - 0 1- 1 5 - " �I i
�4, AJ
WN, IN ipm Fill., I ........ ............
S � ? -
ature of Conti actar/Licon se Holdef
STAT E OF FLORIDA
COUNTY OF �-i_�_:Ai' i'
9 �. -I '
The forgoing instrument was acknowled��,Iec; bark efor(,-rne
t h 1's
by
dq 4
Name of pt�vson Mrakinp, statement.,
�f 4ca-0 on
't,,-�rsuky wn nljKr-ioOR Produced Identl
PI
oe of Identificatiot.)
Produced
k •Yof Notary Public.- State of Ho
N No.
Commiss o o
P1. AN S
REVIEW
VEGETATION SEA TURT'LE
W
REVI[M i R EV, I
... ........ . .........
ohnn0f) O*Shefl
NOTARY PL)BLIO,
, eRID
e
TATE OF FLO
CoMm# GG258038
I.
MANGROVE
REWEW