HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST E COMPLETED FOR APPLICATION TO BE
ACCEPTED
Date ; Permit Number,
COUNTY
F L . 0. R 1 . 0 A
BUi' ld 'ing
Planning ond Development ery s
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone : (772 ) 4 41 5 Fax : (772) 4 - 1,578 Commercial Residential X
PERMIT TYPE :
Shutter
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Address : 04 Torrey Pines i t
Property Tax ID #: - - 14-00 -
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Site Plan Name :
Block N .
Project fare : Derle
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DLTAI LED'' D'ESCRI PTION O WORK
Install 11 accordion shutters
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CONSTRUCTIGNINPO' : . . .Additional work to be perafor red under this permit — check all that apply:
Mechanical GasTank Gas Piping huts r
Electric Plumbing
� Generator � Roof �._ _ Pith
Total Sq . Ft of Construction : . Ft . f First Floor:
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Cost of ontrutim, x 178 . 00
Utilities : ewer � Septic Building Height:
COOW-NERAESSEL . . . . . .
NTRACTO R . . y
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Name Donald F Der[eT )
. Name: Michael Heinbr
Address : 0 Torrey Pinesfir Company: Expert Shutter Servi
ces
City : Port St Lucie �
State . FL Address , 668 SWWhitmore Dr
Zip Code : 34986 Fax : F • Port St. Lucie
.. �_... .� City : State. FL
Phone No . 772-466-2465 Zip Code : 34984 Fax:
E - Mail : P hone No 772-871 - 1915
Fill in fee simple Title Folder on next page if different F- � perm its@e e hotter . om
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from the Owner listed above) State or County License 16572
If value of construction i or more, a RECORDED Notice of Commencement is required .
If value of HVAC is $7,500 or morel a RECORDED Notice of Commencement is re
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SUPPLEMENTAL -CONSTRUCTION LIENIAW
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DESIGNER/ ENGINEERONotApplicable
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MORTGAGE COMPANY: Not t
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FEE SIMPLE TITLE HOLDER : * NotApplicableBONDING COMPANYP
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OWNER/ CONTRACTOR AFF1D Applicatic)n is reL)y madc to obtain a perml'.:- to do he work and installatt+on as indicated.
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I cutify that no work or installation has commencc2td pria, to thc 1 .'rInce 0-f a permit .
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�County � n rep t i that i ra t� � perit� wilt authorize �� � ��� � �der �� � �+ � �
which Is applicable Home On"ers Association� � : bylawsand covpnants that may restrict, or prohibit such
Structure, Nea-se consult with your Home Owners A�,sodatloj) and review your deed tor anv restrictions which MAY lappiy-
n c.onsi de. ration of thc granfing of I r e ' : I do herebyr ; that I will, in all respects, perform the work
l*th the a pprovodplans, the Florid a 8u l -1 ng C-odes a oa St. Lucw Courity Amondrents .
The following ' fni 1- . i n areexempt r' rn ur��� r i ull c ancurr r ` . r of add* tion
r truc i'es, swirnming pools, fences, wall, sign%., screen rooms and accessory uses another non---i-esidential use
f�WARNINIL TO OWNER* YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINC
TWICE FOR IMPROVEMENTS YOUR PROPF. Y. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE I�r FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT
WITH O LENDER 0�.... ,f � R wR I C YOUR NOTICE M � � �
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t a r t g r tre of Contractor/License 1, ler
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STATE OF FLORIDASTATE
FLORIDA
COUNTY OF
COUNTY OF
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Th (..l f.W'01ng InstruMent was ac l gi
"4 Of .. AU6 . l r me Thefor olio i �� r mi was acknowledge
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Name of person; r*'rAf'1*jn9 Statement, i kamio of personmaking statement,
Personally OR - i � y' na t {
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Type of Identl I
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l)e of Identification. ..+a..� ±
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{{ ZONING SUPERVISOR PLAN VEGETATION .SEA WRTLE MANGROVE
COUNTER i REVIEW REVIEw REVIEW REVIFW
REVIEW
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