HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO LET COMPLETED FOR APPLICATION 11 �` BE ACCEPTED
Date :
Permit umber:
COUNTY
* Ids '*t Appliacatiffion
----------------- ui ing i
� �
Planning andDevelopment Services
Buildingand cie Reg )otlonDivision
2300 irinio Avenue, Fort Pierce FL ,
Phone : (772 ) 4 - 1 Ea : (772) 4 - 1 CommercialX
PERMITTYPE : S
ter
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, ... . . . ... .. .
PROPOSED IMPROVEMENT LOCAT' I
Address .. 0 Petticoat P I .
# - 3410-503-0338-000-0
Property Tax ID Lot No.
Site Plan Name .- Block No.
Project Name . S ft n
DETAI-LED .
•S
. . . . . . . .. . .... .
Install 1 roll accordion shutters
CONST' RUCTION INFORMATI N
.0 N :'. . ,.' . . . . . . . .
Additional work to h performed under this rr it — check I :
� all that � �� I .
Mechanical Gas Tank Gas Piping X- Shutters Window5/Doors
Electric Plumbing Sprinklers
Total q . Ft of Construction :
q . Ft. of First Floor,41
Cost ofConstruction : 44120 . 00 . . . r
Utilities , � Sewer � S e p tic Building Height :
OWNER).LESSEE .' '
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• fCONTRACTOR'
. . . .. . . . . .
.
Name Janice n Michael Ikei nber
Name .
Address : 4 Petticoat PI .
Company : Expert Shutter Services
City : Fort fir .
34982 t FLAddress , SW Whitmore Dr
� ---Phone No. 772-925-9020 Fa fit P t. Lucie � FL
• State :
Zip Code . Fax .
F- Mail : Phone No - '1 - 1 �1
Fill in fee simple Title Folder on next page if differ - r rmit hutt r . o
fromh Owner fisted above) F 16572
� State � r L�� r�
If value of construction i $2500 or more, a RECORDED DED Notice •
f Commencement i� required.
If value of H i $7500 or more, a RECORDED Notice of Commencement
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DESIGNER/ ENGINEER3, �,, .,_.,..... , MORTGAGE COMPANY., Not Applicable
Name ,
Name :
AddreSS ,, 6355 NVV 36th St �-5ujjt: --------------
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FEE SIMPLE TITLE HOLDER :
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OWNER/ CO NTRACTOR AFF1 DVIT:,' Appli catio n 'is
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he reby ni + to obta i n a permit to do the word insta Hation as in dicated
I certh that no work t t• installation � min (anced prior to the issuance of a pe. r i t .
St, Lucwhich ie u - ak- r ion t i r � :� per i � � � �� �� �� � r A
consults iri convict l4t l Hom wner A i • •i v l . f bylaws r and covenants that m y restrict r
structure., Pl(),Iise OwnersAssociation and review u for any rest'rictions which may apply,,
In conr;ideration of the griintingis ioquested perrri ' t , I do hereby agree that I will, in all respects, perform the work
in accorda nce with t• r la . the Florida Building C and t ie County Amendments.
1- oll ' building permit p l ilc. ti r rn t r M Llrl r�r o*f full rr w;
roomadd ii ,
acceis;sor-y structures, sari it ink, j)oo * fences., walls, signs, Y r :
. use
"'� N OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPE Y. A NOTICE OF COMMENCEMENT MUSS BE RECORDED AND
POSTED ON T JOB SITE BIWORE TH r iFIRST INSPECTION., IF YOU INTEND TO OBTAIN FINANCINC5 CONSULT
WITH YOUR LENDERRECORDfNG YOUR NOTICE OF
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STA"rE OF FLORI IDA
COUNTY OF
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F The forgoing InjItILtjI �owledged + The for
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this day y� �r :. by thisd -C)Y Of 20.,A by
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