HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Shutter
Permit Number:
Building Permit Application
Commercial
Residential X
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Ad -dress: 117 Queens Rd
1423-602-0004-000-8 Lot No.
Property Tax ID #:.
Site Plan Name: Block No.
Proiect
Name: Thomas
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Install 9 accordion shutters
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Additional work to be performed under this permit — check all that apply:
X Shutters
Mechanica
_Gas Tank _Gas Piping
Windows/Doors
_Electric _ Plumbing _ Sprinklers _ Generator � Roof 1 Pitch
Total Sq. Ft of Construction,.,
Sq. Ft. of First Floo
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Cost of Construction: $ 71972-00:Ufilfties:
_ _Septic Building Height: _
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Name Lorenza Thomas
Address: 117 Queens Rd
City: Hutchinson Island State: FL
Zip Code: 34949 Fax
Phone No. 914-419-9465
E -Mail:
F'1111 in fee simple Title Holder on next page (if different
from the Owner listed above)
permits@expertsh utters co m
If value of
If value of
%Janie,-,
Company: Expert Shutter Services,
Address: 668 SW Whitmore Dr,
City: Port St. Lucie State : FL
34984
Zip Code: Fax:
Phone No 772-871-1915
E. -Mail
State or County License 6'%572
construction is $2500 or more, a RECORDED Notice of Commencement is required.
HVAC'is $7,500 or more, a RECORDED, Notice of Commencement is required,.
SUPPLENlENTAL CONSTRUCTION LIEN LAW INFORMATION . _.
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E 1UNLK/E EE = Not Applicable
Address*&355 NW,36th SlSutto 305
Cit y viryinin Gardens
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,Zip:Phone
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EEE SIMPLE TITLE HOLDER, Not Applicable
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MORTGAGE COMPANY: ...._Not Applicatfle
Name:
Address:
city-
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BONDING COMPANY:
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N a nn e;
Address:
Phone;
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OWNER/ CONTRACTOR AFFIDVIT. Applicatiori is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced pricer to the issuance of a permit.
St. ' s r pyre fie a io that
k}� �p permit
er =�.`,I • wi s�+�{}} 4'q{��ew� p ' i 1M SLubj e c 7t RICtUr
i�c# fount .m�k�s no representation ��*�7h f grantingL� f�� 1 �9�r� %Y��� w+.+4�����i�9..4 �� isi./]rr��� holder- t� k��id the .F .
which is in conflict with an applicable Dome Owners Association� � M . e
r ulc.s bylaws or and covenants that may restrict or prohibit such
pant
structure. Please conskilt with your t-Iorlle owners Association arrd review your deed for any restrictions which may appIy.
In consideration of the grilriting of this, requestcvd perrnit, I do hereby�j� ���� that I r�riil, in all respects, perform the work
in accordance with the approved pians; the Floridia Building Codes and St. t.ucie COUnty Amendments.
The following building permit applications are exempt from undergoing a full concurrency rvii : room additions,
accessary structures, swirnming pools, fences, walls, signs, screen roonis and accessory uses to another non-residential use
16iWARNIN TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINC
TWICE FOR IMPROVEMENTS M ENTTO FOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE INC RDED AND
POSTED ON THE J013 SITE BEFORE THS FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
'MWITH YOUR LENDIER GWAN AXTORNEY,
Si nature of Owner/ Less: e/Cont.ractor as
TATE of EL
COUNTY of
RE RECORDING YOUR NOTICE of COQ N
ent for ()Wne r.
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Signature ofContractor/License Holder
ORIDA STATE of FLORIDA
COUNTY OF
ladL
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The fWgoing instrn nt was acknowledbefore rrie
this day ofby
IN - ------ IL '22holl,
-
Name of person making st j tPr'r1(> r) t,
Personally Known Produced Identification
"hype of Identification
l�rod�.,ced
(signature of Notary
Commission No
REVIEW
RECEIVED
DATE
GCIMPLFiFD
- Y
ir
...Aiw ki :
The forgoing instrument was acknowledged before me
this... day of � ► 20&.. by
n
...w
Nramo of person making statement. LT
Pt' rsonally Known OR Produced Identification
Type of Identification
Produced
i
(Signature of rotary Public- State of Flor.
Commission o. -
FJ�O T I ZONING KING UPE VI OR PLANS VEGETATION SEA TURTLE
U I"ER [-.'VI F W REVIEW REVIEW R : IL- REVIEW
ha'nOn UShea
NOTARY PUBLIC
TE of FLOR
omm# GG2580*
MANGROVE
REVIEW