HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virgl'nia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Shutter
Commercial X
Residential
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ROPOSED- IM-PROV ENT -LOCA 1'0'N'+-'
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ress: 3120 N HIGHWAY'AlA 1201
Legal Description: TIARA TOWERS UNIT 1201 -S
Property Tax ID #; 1425-610-0127-000-7 Lot No.
Site Plan Name.-. Block No..
Project Name: Webster
Setbacks Front Back: X R1911't Side: Left Side:
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DETAILED'DESCRIPTI OF W RK---------------
:
Install 1 accordion shutter
CONSTRUCTION INFORMpTIt�N:.. .. .. ....
Id-Itional wo
HVAC
lectric
r to be p rtormed under this permit — C eck all
XCis
Gas Tank
0 Plumbing
Total Sq. Ft of Construction.
Cost of Construction: $ 7,694.00
Gas Piping
Sprinklers
u
0
apply:
Shutters
Generator
Sq. Ft.- of First.Floor:
Utilities0
:
Sewer
J Septic
Windows/Doors
Roof
Building Height:
Roof pitch
.
jt
E -S S
TOR E E'*'.
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Name Edward H Webster 11 Names Michael Heissenberg
fifirp-q-- th W r Shutter Services
. r .
City: Vancouver 1111111111ir State: WA
Zip Code: 98662 Fax:
Phone No. 727-518-4349
L-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Address: 668 SW Whitmore Dr_
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
L-Mail% Cal(expertaaol.corn
State or County License: 16572.
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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MORTGAGE 'Not AP I 'ir �
Name-b
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5. NW 36th 81 Suft 305
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OWNER/ CONTRACTOR
AFFIDVIT,* PP fion i
tsyince of a p(irmit,
. .
Si. Lucie COUnt makes no representation that is granting rmit will author."Ibie the permit holder- to build the subject structure
which is in cot) lict. with "my applAlcable. Home {owners Association rubs, bylaws or and covenants that may restrict or prohibit such
consult +rvitit your Home Owner-s Association arid review your deed for .any restrictions which mayapply,
It-1 c�ondwicl_f,-,�rziflon of kh� gr�ntii�g of this rec{ue�steti ��c�rr,�it, E do Fjere.�by agrYe thy# I will, in ail respects, perform the work
in accorarice with the. appi-oved plans., th�a Flot"I'da Building Codes and St. Luc'e County Amendments.
The following; building; permit a p p ca tj On s are exempt from undergoing a full con cu rr c� ncy review: room additions,
accessory structures, swimming; pools, fcInce-C, walls, signs, screen moms and aecQss01-y LISPS to arioi:hE�r non-residential use
„WARNING TO OWNER: Y'OUR FAILURETO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVIEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORIDED. AND
POSTED ON THE J013 SITE BEFORE JIIEF'OF
FIRSI INSPECTION. IF YOU INTIEND TO OBTAIN FINANCINCt CONSULT
WITH YOUR LENDER 0 t'- A ORNEYE RECORDIR C YOUR N0TJCF t1F Ct1M N mFfii1r-P
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%C�LP-Ssee./Contdractor- as Agerit Ownc.t-
.3!gnal
STATE OF FLORIDA
COUNTY OF ��' . Lij����
.tea-. aivii ate...- .yti %�i Y1 ,
The fo�c�i�iK instr t'tent was acknowied�; d bt)pfor,e n•iEy
this ._ day of :�.. __.._., 7_(� by
Name of person marking statement. �J
Personally Known �__ OR ['1_00AL1(0(J 16:11W-CatiOn
Type of lidentification
Produce,Iwo
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NEFEMEN - _,iiiiii I I I I I I I I I d�11 N K �11 ftftatft� %I C --02
(Signature of Notary Public- State of a
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Npip��tY PLS�LIC;:
CommissionCommissionNo. ��pV=�Q �( 5 ��A.OIVF FLoRto
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REVIEWS
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DA__1'F'
R E C E I V E D
���I�YWr•F!�l5fl a . a.. � a 1Ja i+a••4+.+ K�
DATE
COMPLETED
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FRONT 1
ZONING
SUPERVISOR
COUNTER REVIEW IffVIEW
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WEEMEN
!-)jgnature of Contractor/License Holder
STATE OF FLORIDA
BOUNTY OFsii.(a.
I'tie forgoing instrumenfi was acknowledged be -fore me
t'a)is�....... day of �'..=._ , 2C1�Q by
Name of person making statement,
Persorially Known � CAR Produced Identification �
J'ype of Ident"Ification j
P r o d u (., e d
(Signa-ture of Notary Publ'l'c-"State of Fla � }
ornmission Na � e
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PIPANS VEGE`FA�TION
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;
V I *W REVIEW
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MANGROVE