HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
a Lha L . I.: a A.
Permit Number:
Building 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 X Residential
PERMITAPPLICATION FOR : Shutter
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Address..
5051 N Highway AlApt 17-3
Legal Descriptiowr SEAWARD AT ATLANTIC
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Property Tax ID #; 1414�612-0091-000-7 Lot No.
Site Plan
Project Name:
Setbacks Front
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::DET--A----'1L-E--D DE -SCRIPT W
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Install 1 accordion shutter
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Additionalwork''to".
be'[ e ormecT un
HVAC LJ Gas Tank
gElectric
Plumbing
Total Sq. Ft of Construction,,
Cost of Construction: $ 79162.00
Gas Piping
Sprinklers
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Shutters
Generator
SFt. of First Floor:
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Utilities:
Sewer
=J Septic
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Windows/Doors
Roof
Building Height:
•fir. .' : .,ti
Roof pitch
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Name Phillip Smoak Name: Michael Heissenberg
Address: 5051 N Highway AlA Apt 17-3 Company: Expert Shutter Services
City: Hutchinson Island State: FL Address: 668 SW Whitmore Dr
Zip Code: 34949 Fax: City: Port Saint Lucie State: FL
Phone No. 941-479-0563 Zip Code: 34984 Fax: 772-871-0990
F-Mcail-
Phone No. 772-871-1915
Fill in fee simple Title Holder on next page (if different E-Mail: Cailexpert@aol.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.
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.. _ ORNE` ORERIECORDINC Youa NOT'ICE of cow
� Signature of Owner/ Lessee/Contractor a;..; ,�@;en€ fA-r Owner -
STATE OF FLORIDA'
COUNTY OF `,�, L
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The fo,��;oing instru nt as acknowledged beforcme
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thisc day of. - •-- ...._, 2 by'
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Name. of person making irt�,t:ement.
Personally Known OR produced Identific.ation fYpe of ldc-�nfijfica-tion .__.__...__
Produced
(5ignature of Notary Public'. State of.
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Commission No.02.�
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REVIEWS
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MORTGAGF. COMPANY,
Name: -rillecirt-).
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AddressR.,WME. -------3!515 NW 3fi 81•Suit* 10. D
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FEE SIMPLE TITLE HOLDER Not
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city*' _ City:
Zip: Phone 0 Lkdu LAL" k," ._.. P: Phone:
OWNER/ CONTRACTOR AFFIDVIT-* Application is hereby made'
v oritain a permit to Rio the work and installation as indicated.
I cc�rt.ify that rya work orinstallat'lon. has commenced prior to the issuance -ofa permit,.
St. Lucie Count retaes no representatlon that is granting a permit wilhauthorize 0ic-! permit holder to build the subject strwtture
which i-s I n conflict W''i th any applicably H o nie Owners As;s oc i a t i on rules, byws or and cov P, n ants"'. that may- restrict o r prohibit such
structure., Please consult with year Home Owners At;sociafion and review your deed for any restrictions which may apply,.
In consid.eration ofthe granting ol'this requested permit, I do hereby agree that 1 wl"ll,in all respects, perform thowork-,.:6.
in accordance with the appraveri plans, the F lorida auilui1ig Cndros and St. Lucie County Amendments. MM. 14.—
The following building permit applications arc's exempt fron� undf�r�;nin�; a full conc.urrenCy review: room add'ition5;.1
accessory structures, swimming pool�-, fen'ces, walls, signs., screen rooms and accessory uses to another non4*res*1dt1,nt'1a1 use
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TVARNiNIL TO UWNIERow YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT' IN, YOUR PAYING
TWICE FOR IMPROV ENTS TO YOUR PROPE Yw A NO CE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THFIRST INSPECTION. IFYOU I FNn T(I t1R1rA#0J FIRIAiuiriour.. rnoci ii r
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Wl-'T*H YOUR LENDER
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COUNTER
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.RECEIVED
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Address.
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Signature
STATE OF Ft
COUNTY OF
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1"#ie forgoing instrument was ;icknowledged be -fore me
this �, day of . NQ� 1 2' 1 by
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Name of person making statement.
fl(-�Arso-nally Known •� OR Produced Iden'tification
i 7`ype of Idewification
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(Signature of Notary Public- State of Flo ' shan'on aSt*9
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PLANS I VEG ETATION
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SEA TURTLE'
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MANGROVE
REVIEW
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