HomeMy WebLinkAboutBuilding Permit Application All ,APPLICABLE INFO MUST BE F COMPLETED F APPLICATION
T BE ACCEPTED
'
Kati
Permit Number:
. !COUNTY
B i ing
u ' ld * arm I
*t
cation
Planning and Development er vice
Building and Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone ; (772 ) 4 - 1 5 Fax ,- (772 ) 462- 1578 Commercial Residential X
PERM IT TYPE + Sh utter
OP
M-E-NT
•� .. : •. :•:••�•. .•. . • .•. vuv Y;x:•� .•.. n¢'•:`.ihvi" :.•i:v
A .t•: : } t-x' rxvx�'a{` h:• �.t. vf:: fxf `} •.}K•'�`x�ti'.
PRO# ED •• PROVE
.. .. f
LOCATION
_ _`{ ha�oo,c }-o. '°.:•.• ,'.<:'.axt•x. ft,r. ..:•::i Yi
v f_v{c t-f
Address : 8817 One Putt P1 .
.. .. .. .f �y:J2-,.oc.QQ f,°lh,°lx��Cb,o-w.°°�i•a�r, .. ... :} fi:y�n;:n,:h... .. .{{<{+o-:vi
Property Tax I D # * 3334,.500-0089-000-7 Lot N o .
ite Plan Name -, Block No.
Project Name : B ittri r
DETAILE.-D -DESCRI I-ON v�c,rx+�tt•
0-F - WORK : +F}sYi vr•'�ye6}C+•t�
,x�iq�}{t•x�ofp�'Y x{4{X��ZT`LO.'CciC-f.'tLw w�{kYA%��4{L x"}'C$11��' :. .:'.{:%;.+C._ 'od-.S.' .... _..}�s'2:0::^'{d"'3�k .. 't`.c x:•X,c,PF t'�s }: - .. .. _ .- ..:. .
......................
Install 2 accordion shutter
CONSTRUCTION ' l-N FORM' ATON :
{f{v
Additional work to be performed u rider th i r it -� check
� all that a ppl .
�Mechanical � Gas Tank as Piping •
ndows/Doors
Electric ' Plumbing rinHers � Generator � ��f Pitch
Total Sq . Ft of Construction .
q . Ft. of dirt Fir .
Cost of Construction .- $ 1 , 558 . 00 Utilities -, r septic Building Hi fit ;
••tv .. • f•}'.:{}}...Yf,-}f}.•::.?..:•x'f:-
',}f f'."'•:.:. ... •. ..'f•:..:f:rx t%.
5-f t•ft•}.f,x}{t•t •: • {Q � pp¢¢�y,Q,jX8d ¢- nv:nr}:s}{t}:}.y.r:•}hv}ti'{tinfv.s,vf{.Ov Yr.fnvtii vk t{}.v{#�f}c.fr}ttt••{•}v,c ft•{>•:i{,.•{pS}.�p.yiM1OWNER/ LSS CONTRACTOR . {:••f+k+vxas}v Vr<{•Y i¢Q:}
}{t••�}{:fvf>{:n
•tii{a{�iv.. .. ... - .. ...,.t"�". .. .. ..
%:
v,.t•�r�.
.f �__._...... .. •_...:..
Name Michael HB {#ner
.....:... .. _
Name Michael Helssenberg
Address : 8817 OnePutt FBI . Company : Expert Shutter Services
City . Port Saint Lug
State : FL Address �� Ihitrrr
Zip Code : 34986 _ FLucie
-- .._._.
�t Port t. Lucien .
t State:
Phone No . 770 p Code .
i Fax.
E- Mail : Phone No - 1 191
Fill in fee simple Title Holder on next page if different E- Maipermits@expertshutters.com
from the Owner Usted above)
State or County License
If value of construction is $2500 or re, a RECORDED Notice of Commencement is required ,
If value of HVA "is $7,500 or more, a RECORDED Notice of Commencement
. . ••tr-f N.Nf�..u,.r,..n,...,n..� �•.v.,� a+•+-•+�+—�
• -SUPPLEM.E.-NTALCONSTRUCTI
ION HENI -W,
'. -- ''' - - '� {-" - � ,h....•....��.... K{ d•d,� _• ,r;,:,,,f.�a_t,vF+^F+1•.v-•YIyY-
i DESIGN E R/ENG1 N E
•f
..r•,�.�.f..: tr�r,ti,l5r,f.�.+-,`.f_.rr.r�.a.,.,:,`.A;r•.�r.r�•:..:......_....,o-.o-wr,�-"_ta:�„.:•. ...•. , .. wkt a ••. — -- .rtt-_• 4����i�..
v �.,,�........, MORTGAGE COMPANY; Not APPHcable I
Name ,,
v f:uvv of a4�• 'Yr S..a a.... - - _a_y u_vufw fJy.aa-y N 7 } 1
A d d r e s s do -.5 5 NW 36 th S' SU itt,- 305
a.y,,.5—_�__.__.Y'Y�Y/A ia•i5ra,---_._..._.yua _.__._.
#}�y�{y ■/ .._.__.rrn�aaaaf•aa�t_ _._.._.._.../ ,5k../r.�.a�5y 5_r ti-��•5-I�l-faa-:f++.F+-uaaY f t �C '
city. i tir7�r: nr. i{O w....i andak144, ,
4f State : �� ci^-'n--n-n�A-u�YS-rf�wvxra•�aaaaa.u.��+:f,.,r_,v�ryrf�• * x.� zF•'.
+ P Phone
l++.a+u.F-tiataf r 2
f n
liti,•�r i1�i'Y„�1+irirl��r��i��a.av•a,*u•�uii++F-u-t:aaaaa�r••aa� zip } a va vn��W aaaaa v_�e. Phone :
' +••�rlHM1•Ir•Y —µall!-l5_._.._.
I�'Fr'+F rrm-t�rv.Mt-hnu vi__.... ........
tK-.t ti�a-r:•h-a•�•ti•,.uaau yy.a}/{yy5_r.�..._—_.._.__.._..
•44•F+.4afx�.�.a.}�.a}�Y+„•r,55-NM.L�vava�+Wa+.Ml,Y,4+xaav• .. .. •a.Y,r�+_.rii�rirf••l�vr..r..f
' il,•Irrrn�r,�.�,,y.ld.�a.-.a.�r,.�r��.�.��_,Muts�.a,,..,.
rn wrxw•.•.�,au...—•r5
SIMPLE
FEF TITLE HOLDER :, Not Applicable COMPANY,:,
Name -- A
Not pp
r•�� •••••••ti-n uawsav_xa�raae uaaF�4�•y•5i• — —___.5r YiY{iru r_.._a�aY.__._.T=e,Rwea�
licable
�,.r-,..+w�++�+f.Y,Slw•rti�.. _.+YrrTr.r,..-. ,r`�. i . . -.�. ,< ..-.-.-.-._
Adclre.s * � ^.r-�..�..--a+a�5..rr•-f-,r+,r,rs.r,...__+„�,�� =aa���r..�.ir�-ri�.+'hr.-n,.�.......,.�.w
MYr,v
+ Address ,
� ••W5YL--`-
} , i C I t
+-ra+n4•a�mxv��.54-5-J JL.n �,f:
1. 7 P
h o n
P. M . + ! t
15r:v wv�yL+aYiilY.—::win•...__.__.__._n•a�.a_._��n•YVY•w uanaa an•�...yv r••••v•v +
nvf:xati•{aa YYiiMray tea•._.^n��t•,r,vvv.r....i.�..—
T"{•�M.+C-}ri+++r•v+,•••—_'off rn..ten•xr••W�.��•a �{—:.v.• -
5r
OWNER/ CONTRACTOR
VI : li L r, r are t i indicated.r
I certify that it � yak- oi- ' n t l i h commenced prior �� � ��€� I LI e 5 t .
� � r
a Lube iCoLinty+ make- repro, � i �. t igrant' � � perm. 1tich i i coy i �t��� � � r � � � i hholder o build the j rLi r
any i)kWe � i wner o i r r rule , lea r an covenants that t
� � #use nstilAssociationr � # �
and review tir deed for aoy restrictions which May
In cowd (Jeration of 1he granting •f t ' 1'eque-sted pertnit , I do herebyapro a +
# �1 4� in all respects., perform the work
in accordance with the approvecll n .0 the Horlda Building Codes and S + Lucie County Amendments.
1'he following b t�iI ing Permit applications are, exempt from undergoing 4a full concurrency review,t room additions-,
�,. � . . , Swimming ' , f0rlces, walls, sip;ns, -sci,een rooms and accessory uses to anothe. r l'•,Ir i ia
l use
!(WARNING TO (OWNER: YOUR FAILURE TO RECORD A
NOTICE OF COMMENCEMENT MAY RESULT I YOUR AND
PA'YINC;
TWICE FOR IMPROVEMENTS TO YOUR PROPENOTICE OF COMMENCEMENT MUST BE RECORM0
.
POSTED ON THE JOB SITE T"E� FIRST INSPECTION. IF YOU INTEND TO OBTAIN IFINANCINCv CONSULT
WITH YOUR
r . LYEv.fx.N: DER
.. ..........._ .... ..
.......*ORNEY
�fNEFORE
ry a �.� .. I
cow N
1 r7V
Signature of Owner / Les,,ree . ..........
n t-r lActor a rs Ag ent f r Owner. Signature of Contractor/License Holder
y � Y
E
1
} STATE OF FLORIDA
f
STATE OF FLORIDA
i
COUNTY �
COUNTY OF
x The fry i instrut-TicA4)t was acknowfedged rr t ng F
nstrumen was acknowledged before me
this day of
5
r
J
2 by
day of
------------ - 6,� by
5 r i
j Name of person rnoakirlf., t.;- Ltateryient. %NJ Name of person rTiaking statement.
Personally Known R Produced IdentificatiOn
� vv r owe O
Type l i s a � f v .
Produced I
I ,.....aa.�M-�: f+,-'-ti•-..�5.._fn. ....a•._••......_..... Pro 4 ed+� U+}Irk
"Mu i+ieT„wi"_'+tir,wr.W.•u—.... Yvv
LF S
I
r � f
f
f
(Signature (I
PUBLIC ` fi - State 5
..� t4 S anon aShea
Cornnii �,�Ion No. q-TA-TF. OF f Lo Y PUBLI
COMM# GG25W36 C0(11111iss ' un No. ........... TATE OF FLOR D
� AV202
GG2580
i W FRONT � ZONING r ,. •_:........ ,. ,r,<Y,<vf�.•�,5-fff,r.,rf-w.w,.r,�•� - -
R EVI E
S.
COUNTER REVIEW � REVIEW REVIEW REVIEW t
------ EVIEW REVIEW
[� ECEIVED i 1
1
i • ATE
,-.,fraa��_""vr:r � xw.-x�•_w�a.�u r•r,R�rn{{-t-vtifr��•
COMPLETED
.f. ...... rya.�_...._... ...,,.,�...�•�__ I
fir• ,