HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number :
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I: -COU-N-T-Y .
Bui' ldi* ngi ion
POnning and Development Services
Building and Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ( 772 ) Fax: (772 ) 462- 1578
Commercial ResidentialX
PERMIT TYPE : Shutter
. :PROPOSEDIMPRO ' 'ENT LOCAT10' 'U. ,VEM .
Address : 5308 Birch Dr-.,
Property Tax ID . 40 - -041 -0 -4
Lot N o .
Site Pry Name : Block No.
Project : Fu _._..
DETAI-LED.
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Install accordion strutters
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CONSTRUCTION
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Additional work to be performed under this permit t — check that apply:
=Mechanical � GasTank Gas Piping tt r W ndo r /Doors
Electric P l u ms bin g Sprinklersen r for Roof Pit c h
Total Sq . Ft of Construction . r
q . Ft. of First Floor-,
Cost of Construction : 1 ,099-00
Utilities . Sewer Septic Building Height .,
OWN E R/LESS E E
--- ------- L ONTRACTOR' :. .. .. . .: . .. :. :.. . ...:. :':
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Name Bryan Russe Revocable Trust Agreement � Michael H ��
Name : nber
Address : 5308 Birch Dr.
Company : Expert Shutter Sri
fit Fart Pierce ces
State : FL Address : 668 SW Whitmore Dr
Zip Code : 34982 Fax : city: Port St. Lucie
State . FL
P hone •
p Code : 34984 h
F- Mail ; Phone No 772-871 - 1915
Fill in fee simple Title Holder on next � different r � �- furl permits@expertshutters.com @exprthuttror
from the Owner listed aboveStateF
County License 16572
If value ofc rr trucUlon is $2500 or more, a RECORDED RDE requ •
recIR
If value of HVAC is $7,500 or more, a RECORDED Notice of
Commencement is required.
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CONSTRUCT -
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--r...,ww�•_,fL,.�+,iwDESIGNE.R/ ENGINEER ............ Not �a^-•,M.+..rtrr,Yr++r,rr,rma{nrf�iti
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Not Applicable
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Address 1 6356 NW 36th St Suik 3U5 —---------- .
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SIMPLE TITLE -0�x•-rx�., �a_.,..•.._.._.w.ti •, rn uaa�,_.._._....M1.x..
FEE
+. Not Applicable BONDING COMPANYA Not Applicable
Name , Nain
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ER/ CO NTRACTO R AFF1 DVIT'.'
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Application is hereby � to obta i n a permit to do the word tan d 'Installation
f certily that no work or instafl �aion Kas commenced prior to th(-,k JS1>1Udr) c(, of a permit.
. Lucie County.. ` µ r e , buildit hotder to
cture
. O li i rn vv . 1 r iati r ��l , b laws r and covenants that m y r .
�� �� � �;� �� f�. ter# 'Our � ��� Owners i � :� r .� � � ` Prohibit
s • at -i n review your deed for any restrictions w rlch may apply.
Inconsidei'ation of the granting of this i-equested permit., 1 do die - �
approvedjr) accordance w'th the � Florida f � ��g ode tiSt. Lucre County Amendrnents.
accessory structures, swf'mming pools, fences, walls, S, L lew*, room a ' I
Igns., <screen rooms and accessury uses to another residential use.
"WARNING TO OWNER.'.', YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT I YOUR PAYING
TWICE FOR IMPROVEMENTS To YOUR PROPE NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN
CONSULT
"ITH YOUR LENDER • l N RECORDING YOU #fir.. v ii�.:v a::.... .... •rar.rm�{• +ti+iF+i-Y�4+:±+.yµ�r+•-Y��+•fve,a.e,e._,...._..._...��. _—�...__.._ x
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{ Signature f O V V n e{ L see t 1a���t i c r +;�.. +i�f'}�y*�yf; }*r,L{}45,y.-/�'�� � ._. aa+Y i-r:.Man_�ea�na�a,�a
Conti actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF__��t
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The forE.,,otng inFstrurneAit w;eis Y'Acknowledged beflare The for oing instrumen was acknowledged -before rne
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day of
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a o person making statement, � � � .
' 4 person making statement.
Personally Known _-- OR Produced lden-t'f, "4 t
Personally Known � OR PiFoduced4 �
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(Signaf.ur(-.1cif, of-ir~ bar -� State of
.� -state of Floc Shawn a-St*91 i
mmj ion No. X NOTARY PUBLId
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REVIEWS FRONT ZONING SUPERVISOR
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A TURTLE MANGROVE
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