HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
;r� � 'rL � 5�--.� � : : tip.. _ svt . _r t •� {..ti . �.. _•.rry �• r' {{. - . � ��ti �i�:'�f��� ' ��'�}���.� '.' �:.' ' � - ,-�;:.
Planning and Development Services
tion Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone; (772) 462-1553 Fax: (772) 462-1578
Building and Code Regina
PERMIT TYPE: Shutter
PRC}POSED IM.-P
Permit Number.
Building Permit Application
ROVE-MENT-LO'.CATI
}
J
-1-1 .._�
ogn cc: r ci ce
Commercial
Residential X
I
NOW.
i -
'•L'.LL''
=' ___ __
----------
'_L': .L.....
_ .
.... '
r e s s:
Property Tax I D #0# 041 �'-04U-UUbb-UUU-J Lot No.
Site Plan Name: Block No.
Project Name
* Bunk
. .. .. ..... .. _. .. .. ... ii .... :DETA-1-L D'ESC
O;RKAIL
�.. L,.
... ... .. {•_.s.. l - _tiff •
-.D R
...... . . .......... .
. . ... ......
.... ..........
install 1 Roll shutter
--•'• '' •'�'- ..-..:r.-'r�-�cf;.r.a•.�i;�•�4�•1:-h•'�:�r'�{.rV :=•r_;:r.�-�{�rt;i;-X'' � ... ..... _ _ .. .. ' _ f.•: .. ..
- .- - ._�._.•k-r.. - - -. ... - -- - .-s� ..:.`:}}}r' - -- _ I,. :��:��;� •rti -----_____--_- .--..--•'f'• _
I. 1
ti' �. �: •'�.'}' tiJ tir tit ti'•�r}. �. ;f' .......... r'.?`=•.zi{J 'S"' 'S' `?' 4 �y _ _.. '. 1 �C. '� •;' rr .'...- 1��.,.. .
'ti i���2:'2..'.� 7f`��;�ir'14 J r �i���'� i�:�ti:tl •: •' :'fi ;1;.� ��I rrrl� :•' L: - - - -.il-.l4'.��ti- '4 '1 I I . N IS`ti'.IY- . ...
_� - - - ... ...... ., �'. •, rti . . r '}} } .. - _r y -
,1 � r'F L+ .� . ra r.•:.•rrtirrtii {• .y•r •. - : -- rLL
L •J _ _
-
[ ,Lr"L r'r'r .
-CONSTRUCT''10-N.- IN..O'.R
------------
-F• 'rti'.' '_t'.':: 1':M
~' i "•yam} _
• ' F ' r77 _ .
'J' •7'
a i �. .L •� •_ti -
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping X Shutters Windows/Doors
_ Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2vO34-00 Utilities.-, _Sewer � Septic Building Height:
OW N' -.E R'; LESS E E uj' �� �, .. ... . CC7 RAC-TU
Name Jay P Bunk Name: Michael Heissenberg
Address: PO Box 880011 Company: expert Shutter Services
City: Port St Lucie State: FL Address: 668 SW Whitmore Dr
Zip Code: 34988 Fax: City: Port St. Lucie State: FL
Phone No. 772-979-0468 Zip Code: 34984 Fax
E-Mail: Phone No 772'871-1915
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value o
If value o
f constructi
ai permits@expertshutters.com
State or County License 16572
on is $2500 or more, a RECORDED Notice of Commencemen
f wviir it: C`7 1;(1!1 nr rNnre � D[I^nDncn__ _ _.
0
t is required.
Y.,�.,., ••w ••,•�� �, Q �,�..����v ,ruL�c;C ui �.vmmencemenr i5 rpnuirpri_
IF
Property Tax I D #0# 041 �'-04U-UUbb-UUU-J Lot No.
Site Plan Name: Block No.
Project Name
* Bunk
. .. .. ..... .. _. .. .. ... ii .... :DETA-1-L D'ESC
O;RKAIL
�.. L,.
... ... .. {•_.s.. l - _tiff •
-.D R
...... . . .......... .
. . ... ......
.... ..........
install 1 Roll shutter
--•'• '' •'�'- ..-..:r.-'r�-�cf;.r.a•.�i;�•�4�•1:-h•'�:�r'�{.rV :=•r_;:r.�-�{�rt;i;-X'' � ... ..... _ _ .. .. ' _ f.•: .. ..
- .- - ._�._.•k-r.. - - -. ... - -- - .-s� ..:.`:}}}r' - -- _ I,. :��:��;� •rti -----_____--_- .--..--•'f'• _
I. 1
ti' �. �: •'�.'}' tiJ tir tit ti'•�r}. �. ;f' .......... r'.?`=•.zi{J 'S"' 'S' `?' 4 �y _ _.. '. 1 �C. '� •;' rr .'...- 1��.,.. .
'ti i���2:'2..'.� 7f`��;�ir'14 J r �i���'� i�:�ti:tl •: •' :'fi ;1;.� ��I rrrl� :•' L: - - - -.il-.l4'.��ti- '4 '1 I I . N IS`ti'.IY- . ...
_� - - - ... ...... ., �'. •, rti . . r '}} } .. - _r y -
,1 � r'F L+ .� . ra r.•:.•rrtirrtii {• .y•r •. - : -- rLL
L •J _ _
-
[ ,Lr"L r'r'r .
-CONSTRUCT''10-N.- IN..O'.R
------------
-F• 'rti'.' '_t'.':: 1':M
~' i "•yam} _
• ' F ' r77 _ .
'J' •7'
a i �. .L •� •_ti -
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping X Shutters Windows/Doors
_ Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2vO34-00 Utilities.-, _Sewer � Septic Building Height:
OW N' -.E R'; LESS E E uj' �� �, .. ... . CC7 RAC-TU
Name Jay P Bunk Name: Michael Heissenberg
Address: PO Box 880011 Company: expert Shutter Services
City: Port St Lucie State: FL Address: 668 SW Whitmore Dr
Zip Code: 34988 Fax: City: Port St. Lucie State: FL
Phone No. 772-979-0468 Zip Code: 34984 Fax
E-Mail: Phone No 772'871-1915
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value o
If value o
f constructi
ai permits@expertshutters.com
State or County License 16572
on is $2500 or more, a RECORDED Notice of Commencemen
f wviir it: C`7 1;(1!1 nr rNnre � D[I^nDncn__ _ _.
0
t is required.
Y.,�.,., ••w ••,•�� �, Q �,�..����v ,ruL�c;C ui �.vmmencemenr i5 rpnuirpri_
IF
• iaa...it}ial�.r}��T�--���TT �T�aTTa ^T'-•}� •
' T�--� �.TT �.TraT. ti .� ` -_____ r=. ri iiiii��A •_ .. .. ar.0"c'-ftwo !MLO_fr. r•r;a-=r: _y: r::_y_1.0-N
I O-N- r-�rv�.:
---------------
-ONST'-R
U�E--.L
SUPPLEM'EN.TAL-;:C
�v�+M.,•r.irr•.r1iwi�,.F..' _ �F4�hi14yi•i/i • tiY.ri11RM�.���1 - �'J: _ _ - _ :-.-. •.-_�+ tC �L.; ' r . _ _ - - ...
+a�'.•++a µ•, :•r. .f. .y.��.�.�Y' _ i. _ y _� ',.i,�- - J'•J �r• .... rti. }ti'.•.5 - l .... .. .. L f
- :"�.+.rd'1�'•+,'+KCw w+ ii�i►r�1'M�1n'�... .............V4tYy4+rti+�.. ,. ..ir- rr �+r-----------------------------
... ._.._ tiDESIGNER/ENGINEERv Not Ap.pliczible MORTGAGE COMPANY,ti
j'��� .'��' ,:. ,:rs: V F,I•.I 1 r rsr �J�.,:,1�f�i+•�'_�{Ai���1ia�•{ir �}��1.���i� -- r
i i
•Leal �. a.7 +r.iF.iNot APP11"cableorm
0
N a me *
— --------- N a
rne
A d d r e ss 6:355 NW 'A 6-th 81 :Sude .305 IP
J+#rriaY+ir*'y+rtw++�u.r.LL•L��++r��r�++�r+MMM�M��-�-� --- - 4M�FM4Mdrl+�ii41
* _. ...._ .. _..
Address,;Cjt
y Sta te -
i. .............
C I&t
Y1 �
f Z41
1, 1. is i�yjr_.... _.. _. •! r �11•Yr+y*rii*,-.jpjpjpai.dr.i.ri
State if
1P11
Phone I P
-
+4441+{� RM i•' ti�M���Mr•��i - �A.•��r..ilrrrr...a.,.,fa �--��r
iY...............................
--------------
.ws.i_`.rt_•..•� JI
.}a�.�.+rrkti[Jttit•1_itaat • it=•�..rt.
FEE SIMPLE TITLE HOLDER., Not
Applimcable'
Name
-----------------
res.
Name4
..ft+�..Sri.�.++•�w.r�.,,.�,r.fi..iis.r�....--- • -- ��
r
Ad f re, S
C t Y C 41 t y
A �l��iT•---T i,ii �.�•.a`--+i A+yi1YA1lJiil i�•z Owe
{}diYi
-.-r•.-.-.� � �.I.tW.i.i.i.i.i.ru1•r4
kt Phone :
t
P#
'Aft*-'�'I+�+-,+I1iI��•11Y1�a MA z i Pho.ne!,
�f iriitiwi'.rsrr�.Li'*��+�44MfEf�f���.fr,.�■�.,.��� .�;.{=�-...--- --------------
OWNER/ CONTRACTOR AFFIDVITVN Applicationi"s
r'y+��.ti.._�.�++ri/�M/Y�i+•�iypiriwllFr�li�y�rr�mrtilr��r•r���F•I��!•i�•r�f�i�.�� --.,.�
K, .•.�Y.A.A.yr�.i.A.ry�. 1, .. r- r �.. * �A AAY . ��.�.. . �.
herebymade to obtain
I - cated
I cer-dify that no work or installation has commenced prior to, the, is-suance of a permit,
St.Luck.,)Coun makes no representation that is granting a pe.rrriit will authorize the permit holder to build the subject structure
which is in conflict with any appiicable HomF� Owners Assoc�iKytitsn rules, bylaws or and cover"iants that may restrict or prohibit such
structure. Please. consult with your t�ie�n�� Ownr�rs association and review your deed for,a,ny restrictions which may apply.
In consideration of the granting of thiF, requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the. Florida Builrling ("odes and St. Lucie County Amendments.
Thefollow*ing building permit applications arE� exempt from und�r�;rsin� a full cancurrerscy review: room additions;
accessory structures, swimming praxis, fences, walls, signs, screen rooms and, acces-sory uses to another nonmresidential use
„WARNING TO OWNER`* YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICIE FOR IMPROVEMENTS TO YOUR PROPE Y. A NOTICE OF COMMENCEMENT MUST SE RECORDED AND
POSTED ON I HE JOB SITE BEFORE TH
ITH YOUR LENnER 4U.0RNEYA
_A_- �_- • T��T•---'�FF!lf�, .. •�i ■aAr!■/+��F��14 A•A•rL�
•FYI.-r,,
., .•
�•�ti v
:;_d& I
i
i+• r+..VrtAWMMJY+rr� ,..-aa,*.,.�,,,,.,f..
Signature of Owner/ Lessee/Coritractor as Agent. f r 0wrier
IFIR5T INSPECTION. IF
EFORE RECORDING YOUR'NOTICE
STATE OF FLORIDA
COUNTY OF
.ft �t. _.l.
The fo, gyring instru nt as acknowledged bet'ore me
thiscday of �p�� Z by
►ra
Naaiu% of person making statement,
Personally Know-n OR produced Identification
Type of Idenfificatioll
Produced.
(Signature of Notary Public- State C)f-,-
OWN
Commission No. _.
REVIEWS FRONT
COU N,
vape"MMA&!,■!!".p■81A—Ate--iti 1101 A Y.Y A..Ja q 4
DATE.
FiECEIVED
DATE
COMPLETED
,,,m
e /71T.,
v. 2 09.
a
zorviNG
REV V/
��r�F�F�F!-���i��r.�1••�Irfi.�ri �}`�y.S�,ii��y�N�•�`•..•ia.•------- _ �. "�A.4i1� �i4L IiY.raaar aa.r.i�
MWrrrrM4*14wr"
Stgnature
Yt7iU INTEND TO 013TAIN FINA
OF CI
Coh'tr-actor/License
Haider
STATE OF FLORIDA
CO U NT Y OF
NCINCI CONSULT
The forgoing instrument was.. acknowledged before me
t hips Q ?�, day of _'P..P �- ,zoo by
------------
Name of person making statement, 8WJ
Personally Knowti � C)R Prdduced Ident'I"fication
Type 'of Identification
P duced . �Ip
88
AL
------- ----
a------
NOTARY pUBLIC (Signature of Notary Public- State of Florb shanon CYShft
OOTATE �� f:1,0R1Cf � ��{7r NOTARY PUBLI
GL'��5�t338 CorY�n�ission Na�l.t_Ca __ e TnTr nV I:LOR D
a �rgs911i��3�
i
P 1 0 M bmdwqww� --- - ------- ---- ------
SUPERVISOR REVIEWV
E G ETAT REVIEW�)N
A A t. i iiL i1 � � � � r a 1+AJt Ar +.i• JL u •_�rla � ...
^�+-•.�r.F� •r..•t •f •�.. •:r � M.. r N ##� 9F.11 r r'F ff r o a g 1 a.l
"4* 49! ArtF"r
SEA TURTLE
REVIEW
Comm# GG2�4
MANGRO'VE
REVIFW
............. ........