HomeMy WebLinkAboutPiatkowski application4
All APPLICABLE INFO MUST BE COMPLETED FDR APPLICATION TO BE ACCEPTED
Date:
.{��'Ye'r�;`. `$•• .."5a-tN }-rr;x•'Co-� ice`• }'t•'
%� • �. �+• ','ram
Permit Number:
Building Permit Application
Planning and development Services
Building and Cade Regulotian Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commerdal Residential X
PERMIT TYPE* Shutter
PROPOS.ED IMPROVEMENT LOCATIONS
Address: 6820 Dickinson TER
Property Tex !D #: 34� 5-7�6-��43-OaD-3 , , ...., .__ Lot No.
Site Plan Name: -- .�.-. Bloch No.
Project Name, : Pit wi
DETAILED DESCRIPTION -OF WORK: .... ..
Install 19 accordion shutters
CONSTRUCTION INFORMATION:
Additionsl work to be
performed under this
permit
—check all that
apply:
�Mechanical
� Gas Tank
� Gas
Piping
X Shutters
Electric
Total Sq. Ft of Construction,
ost oConstruction: c'
Plumbing
w Sprinklers
Generator
. ��ti.: r--. it A-ry��� von M1-.•..'�}..t`;c } J } :•'••
Windows/Doors
Roof Pitch
q, Ft. of First Floor.-
tJ01ties., Sewer Septic Building Height-,
OWN E R/LESS E E
Name Christine M Platko ski
Address: 682.0 Dickinson TER
City: Port Saint Lucie
State-, FL
Zip Code.- Fax., -
Phone Na.772-708-D393
E-Mail:
Fill in Fee simple title Holder an next page ( if different
from the Owner listed above)
CONTRACTOR d
. n.. ?,. ,...: n. n.. }: .V.. f•}•: ... ..:.. }_:r :o,:}:�}�{`�yo •bcn^h� ct,c.�cSt-5•; :t•:. :: t.
Name. Michael Heissenberg
Company:.Expert Shutter Services
Address. 668 SW Whitmore Dr
C
City: Port St. Lucie F FL
State.
Zip Code: 34984 Fax:
Phone No 7-1-1 1
E_ ail perrnits@expertshutters, com
State or County License 16572
If value
of
construction is
5 0 or
more a RECORDED Notice of Commencement is required.
If value
of
HVAC is $7,500
or more,
a RECOR E I) Nofice of Commencement is required.
FtO A N01+
COMMENCEMENT MAY
RESULT
IN YOUR PAYINC
PROPERTY. A NOTICE
Off} COMMENiCEMIENT
MUSS` BE
RJECORDEI) AND
:-FIRST INSPECTION. IF YOU INTIENO TO OBT-AIM FINANCING, CONSUL.T
RECOCHI 'YOUR NOTICE OF COM M N
i �•
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I' Signature of CorArri.-ictor/License Ho
nature ti_.: a
r
1 STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF
C0UNTY OF
The for l n r n �i mr-iisiack(iowledped before roe The fc . soing i -mment ww
this of I
- - ------------ 20"%.96 by
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Name of persol"I
ng staterient.
Personally Kv ri :
Identification
Produce
0 r used � i�Fi tI
t ic�' Vr'x'I `_
(-�)ignarore OT Nary FUN -
BOND N COMPANY.
S NcA App
r
N vyi c-_
Address:
�Y-Weri�e:�F.�.mmn r
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zl• { ,
r�
OWNER/ CONTRACTOR AFFIDVIT:.m Application is hereby made to obt erm"t to tio the work andinstakition as indica-ted.
1
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I certify th at n o wof-k!- i ns t a I at r;) as corn rn en ced p r'a i- t i s S u # j .F of a perm1 �
t. � - r� r r entati i m npermitwill ri g ffipermit holder jild the j t structure
which i coy r with y Ii ! e Home Ow P, rs Associ ation rr u le s, bylaws or anci coven ants that may restrict o r p roh i b i t such
structure* P1 �i se con su It.- with your H o me Ow n e rs As sod atto n a n d reW evv y o, tip{ deed fo r a r) y r es triCtionSwhich may <apply,
. ... �'}" fir.+:•_. ._, :: •.o- :. ...r++�..�..a�_.,,ty;�.k:t,,:,�....w-...+�....,r+�+.r�•n 4•.w A.�._,..,..�,.:
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SUPPLEMENTAL CONSTRUCTON LIEN
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DESIGNER/ENGINFER,-
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Nc)tAppli s .
MORTC, G E COMPANY: N ot Applica b I c
Name,:
Narne'.
,
Ad dres5
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Names
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Not Applicable j
illConSI d e ra tion of th e gra n t'l ng of this r 't (..i,d pu, r mn i• t I d a here by agree tha t I w II1;, 1 n a II respects, perfoir m t h e wo rk
i n accordn ce with the approved Iabs, the Florida B u i Id frig CMP- and St, Lu r, 13 Coy ntv Am P.. n d m en tst
The folloLving bolidingpermit applications are exempt from undergoing a full corku rren review., (1jj additions,
r
# �� pools, fences I wall
s, ),1n } screen rooms andaccessory j. another
:4 WARNING TO OWNEWN' YOUR FAILURE TO
TWICE FOR IMPROVEMENTS TO YOUR
POSTED ON THE JOB SITIL BEFORE TH
....W.ITH;... Y01J.RLEv�Nrw�YDivhtiER .�__. UORNEV
....
wN:
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--'I' r 1__ 200 by
'dame of person f statement.
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Personally Krr n �._..,.,. OR ProdUced I t i iLi Type of ldc-�r)tj'ficatlon
Produ J
(Signature oNotary u f i +- State of Flo, r' _,tn'Shes
9112 t2O2 ornm# GG258018
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KLViLV) 1-KUN I Z0 N IN G 1 SUK.RVISOR PLANS VEGETATION
CO U NT!_�` R i REVIFW REVIF-W REVIEW REVI
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COMPLETED
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SEA T URTLE
REVIEW
MANGROVE
REVIEW