HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit Number :
-:A
COUNTY
1 0 a ..�A",
F L .0. 'R' , Biis , 0ulding Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ( 772 ) 462 - 1553 Fax : ( 772 ) 462 - 1578 Commercial Residential X
PERM IT TYPE : Shutter
PROPOSED I IVI � ROV'� iVT LO'CAT-I-ON' .� , � : �
ME
Address : 7722 Greenbrier Cir .
Property Tax I D # .o 3322 -700-0025 -000-8 Lot No .
Site Plan Name : Block No .
Project Name : Dmytryk
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D-ETA-I' LE'D DESCR '1PT''10N -. .0 ORK F � .P ,
Install 2 clear panels & 2 accordion shutters
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Additional work to be performed under this permit — check all that apply :
Mechanical _ Gas Tank _ Gas Piping X Shutters Windows / Doors
_ Electric _ P l u m bin g _ Sprinklers _ Generator _ Roof Pitch
Total Sq . Ft of Constructions. Sq . Ft ., of First Floor :
Cost of Construct i on : $ 51533 - 00 Utilities : _ Sewer _ Septic Building Height :
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OWN E-S-."S' E
a
Name Dennis Dmytryk Name : Michael He'tssenberg
Address : Com7722 Greenbrier Circlepany : Expert Shutter Services
City -D
: Port St . Lucie State : FL Address : 668 SW Whitmore Dr
Zip Code. : 34986 Fax: City : Port St. Lucie State : FL
Phone No . —561 -558-6435 Zip Code : 34984 Fax :
E - Mail : Phone No 772 -871 - 1915
Fill in fee simple Title Holder on next page if different E - Mail permits@expertshutters . com
from the Owner listed above ) State or County License 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required .
If value of HVAC is $7,,500 or more,, a RECORDED Notice of Commencement is required .
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SUPPLEM'ENIAL CC "C� l� {..T1 -U" -N LIB . � T1 �
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DESIGNER/ ENGINEER : � Not AP '
plicable MORTGAGE COMPANY.. Nat Applicable
N a rn � : Y i ft�a, 1n� N � m� :
Ad, dress : 53� N4v :�6rn s1 su�+e ;ios Address ,.' _..�_._ ._._..
cfty $ Virginia lE�rAens ......... state : F_L City : ..__, State :
zip : � Phone zi p : P h o n e :
FEE SIMPLE TITLE HOLDER . � Not !Appl 'lcable 13ONDING COMPANY : � No � APplicabic�
IVarn e ; N a iii e :
Address : �-' Address :
City : _ _ City .
Zip ' Phone : zi p : , . Phoneor
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OWNER/ CONTRACTOR AFF-IDVIT ',' Appli"cation is N�e reby niad � to obtain a permit Co dui the work and installation as indicated ,
certify that no work or installation has commenced prior to the issuance of a permit,.
St . Lucie C"6ounty makes no represe' ntation thatis granting � Permit will OL_Ithoriv� Lt-ie. pb-Irm' 'It holder to build the subject structure � -
which is In ( on fict with zany applicable Home Owners Association rules , bylaws or and covenants that may restrict or prohibit such
structure . Please consult with your Home Owners Assoiciatioii and review your deed for any restrictions which may apply .
In Consideration of the granting of' th -
in s ret� u ��st ��d pernii 't., I do hereby agree that 1 will, in all respects, perform the work'
accordance with the approved plans, the. Florida Buflfflng Codes and St. Lucie County Amendments .
The following building permit �, E� pli[ations are exempt fronl undergoin�, a full canCurrency review : roam additions,
accessory, structures, swimming gaols, fences, walls, .signs, screen ravens and accessory uses to another rJOLn-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENT5 TO YOUR PROPERL�,TYtb A NOT#CE Off' COMMENCEMENT MUST � RECORDED AND
POSTED ON THE JOB SITE 13EFORE TH IFIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCINCl CONSULT
WITH YOUR LENDER t3� ORNEY EFORE RECORDING YOUR NOTICE OF CAM _ MEN4.
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Signature of Owner/ Lessee/Co-ntracto' r as Age� rit f4r Owner Sign �it �.� re of Contractor/Llcens-e Holder
STATE OF FLORIDA s"rATE OF FLORIDA
COUNTY OF _ � . !_t,�Ca� _ COUNTY OFMEN �a�__]„� ?...(?
T h y fip oink Instru nt as acknowlecl�;etl before. rt�ie nc �� forgoin' instrument was acknowledged before. me
th * , r� day of __ �'�.,�„,w,�;;;;,,�;, 2 by this �„� day of - , �C1, �t by
Name of person ma-king statementir Name of person making statement,,
Perl%,,"Ion �illy Known OR Produced Ident " ficc ti n n _ _..._..........._ �' � rsnnally Known �.. .. � R Produtf� d Id� nti#r�afion
"type of kAent '14 ication Type of Identiflcatioli
Produced produced ����'��� � . _..
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(Signature of Notary Public-* State, of a
�rC ( Signature of Notary Public- State of Flo • ' Shenon ashes
Cotniiilss, i'oh No. U ) � �"CA"f� or JFLORtt) � �� � gyp, _ NOTA�tY PUBLI
rnif GG2���36 Coiiimlsslon N111A_
�- otC e TAB OF FLOR
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(REVIEWS FRONT ZONING � SUPERVISOR PI., ANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW R E V If : VW REVIEW REVIEW
DATE:
RECEIVED
DATE _ .__ -- _ _�__
COMPLETED
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