HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virgfnio Avenue, Fort Pierce FL 34982
Phone: 1772) 462-1553 Fax: (772) 462-1578
PIE.R[AITTYPE Shutters
Permit Number:
Building Permit Application
Commercial
Residential X
' D IMPROVEMELOCATION.
Address: 170 Pondberry Ln
Property Tax lD#: 3426-703-0158-000-1 Lot No.
Site Plan Name: Block Na.
Projecl Name: Saffioti
]" � R.iJCTION INFORMATION:
Addit"lonal warp to be
performed
under this
permit
--check
all that appy:
_Mechanical
_Gas
Tank
� Gas
piping
X Shutters
Electric
_ Plumbing
Total Sq. Ft of Construction:
.Sprinklers
Generator
Sq. Fit. of First Floor:
Windows/Doors
Roof Pitch
Cost of Construction: 41670.Utilities:Sewer Septic Building Height.
lf: Port St Lai
Zip Code: 34952 Fax:
Phone No, 772-878-3078
State: FL
Fill in
fee
simple
Tine Holder an next
page ( if different
from
the
Owner
listed above)
I CONTRACTOR:
Name; Michael Heissenberg
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
CityPort St, Luc' FL
Zip Code: 34984 Fax:
'hone No -871-}1915
E- '1 a i I permits@expertshutters.com
State or County License ,1 6572
If
value
of
construction i
$2500 or
more, a RECORDED Notice of CommeMement is required.
If
vaii �_
0
is $7,500
or more,
a RECORDED Notice of Commencement is required.
A d d rens: W t 1 1
city: vifginla State:
z 7 �` �i Phone
fi -. -.
FEE SIMPLE TITLE HOLDERY Not Applicable
N a m e .......
Address:.0 t y
`
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Zi P
}
Phone.
r.� rte. � .�.z--.. V _, -_• �_��
BONDING COMPANY. Not Applicable
N m b — a
Address;
--
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OWNER/ CONTRA Applicat'lunis hereby made. to obtain a permit to do the work and installation. N _ .
I Cf
�i o work or instailation has commenced prior- to theissU
1, s d
St. LUCle Ca; ! l ,��° � Will. l a { e. it lde f l the f U r
-i wlers, l � to i r� ' .
�.. m Owers eii� and cove
�trufq:ture, Please consolt with your 01-Tlf� Own
Association and feVif-*W YOUrdeed for any restrtctionswhich may app
In consideration the grantfing of this i-eque: errnit, I do herciby a that, I will, * 1l s ,
pe m the work
in accordance,i- the rF-apans, the Florida Building -.odes and St. Lucie County Amendments.
.a.. wj � 1 � . 100 are .. � concurrency
acts .Scor a turesi, ' int signs, ¢f,n s and I er us -es to tanother n n-rei nti use
#A" NI OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESIULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDEDAND
POSTED N THE JOB SITE BEFORE FIRST INSPECTION IF YOU INTEND TO OBTAIN FINANCING CONSULT
WITH YOUR LENDER N iNC YOUR NOTICE OF COQ , SENT/
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Signature of O s.rt :y n:ractor as AgeritOwner
5's'ATr- OF FLORIDA
CCUNTY OF
Tht fi g 0,- Lru.w n was acKnowledged before rnki,
.
day of..... .. ._,..-� w:a.v: n•:.nn r. •:,s v,.. 2C._,.Z by
ft-ilme, of �,)er!�on making statement,
I� .X OR Pro=duced l c.)n-fl t cation
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TV
����}R
Produced --
f ce
f
re- of Notary Public- State
Commission No
WL-NIEWS
RN # :NN
COLJNTER RF-VIEW
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des
2.a'.
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SUPERVISOF�
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SighSighature of Contractor/UcenseHolder
STATE OF FLORIDA
COUNTY OF S'S
n
•
• t m
to i i �i�
h 1 J;� day of 20 by
Name of person making statement.
Per,,sonallly Known OR Produced ldentification
a._..sixi:iniF%#•hiL-r a.. -.y; p.asay. e�.sYiaiYeF�nsx. •,•• -•. : --.. .
Type of Identification
Produced-
IL
O&LA
(Signature of Notary f5ublic- State of Flo�g
Conifflission No
6. . X-3
PLANS
REVIEW
VEGETATION
RE -VIEW
14
SEA TURTLE
REVIEW
NOTARY PUBL
TATE OF FLO
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1 TIOW161
REVIEW