HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.
Planning oriel Development Services
Building and Code Regulation Division
00 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4 -1 5 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMIT TYPE: Shutter
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential x
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Address: 152 W ARBOR AVE
Property Tax 6❑ #: 3419-515-0066-000-6 Lot No.
Site Phan Name: Block No.
Project Name: A99arwal
Install ordio n shutters
CONSTRUCTION
INFORMATIO
n
.... .. .......
Additional work to be
performed under this
permit
— check
all that apply:
Mechanical
_Gas Task
� Gas
Piping
X Shutters Windows/Doors
Electric
Total Sq. Ft of Construction:
Plumbing
Sprinklers
Generator
q. Ft. of First Floor:
Roof Pitch
Cost of Construction- $ '��0�4•�fl Utilities: � Sewer � Septic Building Height:
OWNER/LESS.EE: ..r
...ONTRACTOR:..................:{
NameDarh n arwaI : Michael H i nb rg
Address: 1 SE Hidden Fiver Dr Company: Expert Shutter Services
i f Port St Ludy■ d d r. SW Whitmore Cyr
Zip Code, * c/ Fax: City: Port St. Lu6 State: FL
Phone No. 772-528-5500
E-ill ail:
Fill in
fee
simple
Title
Holder on next page ( if different
from
the
Owner
listed
above)
Zip Code: 34984
Fax'
Phone c) - 71 -1 1
E-M it perrnits@expertshutters.com
State or County License 1
6572
if
value
of
construction i
00 or
more, a RECORDED Notice of Commencement is required.
if
value
of
HVAC is $7.,500
or more.,
a RECORDED Notice of Commencement is required,
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M:•J•: kvmnaaafy iY�-aF�FYiY1,d��4 _- SUPPLEM-ENTAL-CONSTRUCI"l'ON'LIEN,LAW ::.:...• .
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DESIGNER) ENGINEER'.s Not
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ApplicableMORTGAGE COAAPANY. Not Applicable
Name: Tilt
Namef
A d d
Rom`
e s s,,- ' t�}may{ y�5 Address_
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Phone
SEE SIMPLE TITLE HOLDER: � Not Appficable�
Name.
Address:
CiTvr
zip: Phonp..
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BONDING COMPANY: ___Not Applicable
Narne:
Addresst-----�J
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WN CONTRACTOR AFFIDVIT: hereby rnade. to obtain a Permitwork and j ttiJ Indcated.
I cpr1ify that no work or I nstallation h )-s crnm 'ri r to theissuance of a permit.
:: Lucie ,County makes no representation Otat. is granting a permit will OUthorize the ermit holder to bufldthe subject struCtUre
whichis in conflict with any appii a le Home Owners Association rLfles, by4iws or anscovenants that iiiay restrict or prohib-It such
structure. Pleas'e consu w0 your IYI nie Dwne-rs Association acid review your deed for any restrictions which may apply,
in considerationthe gratiting <)fi rti,,-questeo perperniit, i do hereby agree thiall. I will., in all re t 3 perform the work.
in accorciancewith the approved pians, the Fior'da Bun iind St� Lucie Corinty Amendments.
'rhe following building permit applications are exempt f r rn undergoing a toll concurrency review: r) di�i #
l"i- ry structures, swimming pools, fences., walls, i ? screen roonis -residential use
�ti
WARNING TO OWNEW, YOUR FAILURE TO RECORDIE OF COMMENCEMENT MAY RESULT I 'IN•
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOIrI COMMENCEMENT MUST BE RIECORDE10 ANID
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION* IF YOU INT041DOBTAIN FINANCING, CONSULT
WITH YOUR LENIDEROJR. A 4 ORNEYE RECORDING YOUR NOTICE Of CAM NC-hMENT
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Signature of owner/ Lr ddor as Agent
STATE OF FLORIDA
COUNTY OF :7i-.
e�
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r owner g r r Aac r i Molder
The. for inginstrulTle�lt was acknowledged before rry day
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Name of person making statement.
Personally n v Produced Ideatifi io
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(Sighature of Nar
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Commission No. f I ^ i V.
Comm
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REVIEWS FRONT ZONING I SUPERVISORCOUNTER I REVIEW I REVIEW
DATE _... .._. y.1••�w_r,r • v: r..+ua• �. � v+-• v •-•:v_w_,-:_vntih.vw:
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RECEIVED
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STATE OF FLORIDA
COUNTY OF-Si'LL10�.3
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Tne forgoinginstrument was acknowiedged before ire
tIMSti� Q0 by
r5w,5Y.v,wa45•,ar�.�.
Name -' person rmakingstatement.
rkKnown ,-IV/.--' ' OR Produced
Type of Identification
Prod
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(Signature of Notary Pubic.. State of Flora +I Shamon O'Shela
0 0- NOTARY PUBLI
Commission N— L
} Comm# GG
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PLANS CVEG ETAT'10N
REVIEW REMEW
SEA `TURTLE.
REVIEW
MANGROVE
REVIEW
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