HomeMy WebLinkAboutApplication All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit dumber ;
N aq�Wo:n
ICOUN Y JL
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Buil ding Permit A p plication
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 IMPROVEMENT L-- 0CAT- .-10-N- ': -
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Address : 5011 Paleo Pines Cir .
Property Tax ID # : 1312 -8011.0142-000- 7 Lot No .
Site Plan Name : Block No .
Project Name : Beattie
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DE-
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Install 1 accordion shutter
PE
C'ON:STRUCTION IN RM AT ION . : " � 1 a
Additional work to be per-formed 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 : $ 1 , 333 . 00 Utilities : _ Sewer _ Septic Building Heig. . ht :
OWKWR/ LESS-EE � .. . . . .. .. ......
. co � �r ����r
Name ErrIcka L Beattie Name : Michael Heissenberg
Address : 5011 Paleo Pines Cir. Company : Expert Shutter Services
City : Fort Pierce State : FL Address : 668 SW Whitmore Dr
Zip Code : 34951 Fax : Cit y : Port St . Lucie State : FL
Phone No . 540- 272- 7497 Zip Code : 34984 Fax
E - Mail : Rhone No 772-871 - 1915
Fill in fee S*IMPle 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 .
SIMON
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A usFEE SIMPLE TITLE !-L
HOLDER .,
Not Appl 'lcio) ble BONDING COMPANY , Not. Applicable
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� r OWNER/ CON' RACTOR AFFIDVIT , Applicationt'i he mades to ontain a pei- mft to do the work and ■
I cetatify that no woi- k r Installation ha.s commenced the
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St 4, Lucie Count makes. no rthat Is gca perm *ft wi horlz (-"? ff) (1 Perm-it holdei- to build the subject strUcture
w i - I ' 1 list with a Homy Owners Asso i ;r n rules, i prohi' bit such
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structure, Plf.' A. SP, C011SUltWith OL] r' HonigOwn (?, [As ion aril review yout, doed any restrictions which
Iri consideratic) n of' the - _l perrnit, all
in accord. ance with approved plans, the Flor'ida -"Dt ' 'rld ' ngCodesvind St. Luc " (-.1 County Amendments .
' ' e followi' ng Dui i• rmit appliciations are exempt f U g i rl . d tull concurrenc,
accessormy• structures, swimming l nwalls, ! screeri iAooms and ac e us cis to another, n - r i e ' a %e
WARNING TO OWNER ,*, YOUR AIRS TO R ORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO Y' OUR PROPE Y ,. A NICE OF COMMENCEMENT MUST BE RECORDED
POSTEID ON THE JOB SITIE BEIFORE FIRST
FINAf4CINGO
VYITH YOUR LENDER ORNE EFORE RECORDING YOUR NOTICE OF C^" MEN!.- .
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Signature. of Owner/ Lessee/ContradorL 1
AgentO ner Signa' ture of Con t i0a T icenHolder
COUNT'Y OFSTATE OF FLORIDA STATE OF FLORIDA
COUNTY OF
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The,
forgol!' riginstimunnent was -P k n wl y r , t - ��
� � Tht.h-i, for-going instrument was acknowl before me
t h i . h, y thiS 6 day of OCte 2o2O by
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ic islenberg Michael Heisse
Name of person nric-Aing staternent. Nc�wnc of person making statement ,
Personally Kno-wnOR Ident.1ir
O ers Known9 IAL
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G G 2 5 8 0 3 8 0 NOTARY PUBLI
Commi .ss "on No ..r . 61011
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RF- VIEWS FRONT'
ZONING
r SUPERVISOR
C* 0 UN 1' E R R E. V I F. W
REVIEW R E V I E W REVIEW REVIEW REVI E_ W
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