HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D ate : Permit Number :
Buil di ng Permit APPI ication
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ( 772 ) 462 - 1553 Fax : ( 772 ) 462 - IS78 Co m m e r ci a l Xrmmmmm� Residenti al
PERMIT APPLICATION FOR : Shutter
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SED 1fVIRRU MENT LfJ� N . �
Add ress : 9650 S OCEAN DR 2009
Legal Description : THE PRINCESS OF HUTCHINSON ISLAND UNIT 2009
Property Tax ID # : 4502Pw610-0189-000 -4 Lot N o .
Site Plan Name : Block No .
Project Name : Snyder
Setbacks Front Back : X Right Side : Left Side :
DETAILED KRIPT C}N - OF- WO:Ri�
x
Install 1 accordion shutter
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CONSTRUCTION ' lNFRNlATIC3N :
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Addi ti ona I -w o r tobe e orme un er t .. i s permit c ec a app y :
HVAC Gas Tank ❑Gas Piping � Shutters Q Windows / Doors
Roof pitch
Electric Plumbing Sprinklers � Generator Roof
Total Sq . Ft of Construction : S Ft . of First Floor :
Cost of Construction : $ Utilities : Sewer � Septic Building Height :
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NT
TOR
OWNE' SSE .E ..
Name Harold H Snyder F Name : Michael Heisenberg
Ad d ress. 9650 S Ocean DR Apt 2009 Company : Expert Shutter Services
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City : Jensen Beach State : FL Address : 668 SW Whitmore Dr
Zip Code : 34957 Fax: City : Port Saint Lucie State : FL
Phone No . 561 -601 -9922 Zip Code : 34984 Fax: 772 '871 -0990
E - Mail : Phone No . 772- 871 - 1915
Fill in fee simple Title Holder on next page ( if different E - Mail .• Callexpert@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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OE51GNE �i/ �: NGINEER : .. Not Applicabl e MORTGAGE C06m" PANY : � Not Applica-# ble
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SEE SIMPLE i`ITLE HOLDERN � Not Applicable, BONDING COMPANY -to Not Applicable
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A d d r es s : Add, ress :
City : —--- ---
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Zip Phone : _ _ .�. .._�.. Zip : Phonel
OWNER/ CONTRACTOR AFFIDVIT ',' Aprflicationis hereby made.. to obtain a permi t to do the work andipnstallation as indicated .
I certify that no work or inscall :� ci on I) II commenced error to the} issuance of a permit ,
St . Lucie County makes no represent � Ciun that is granting �� �carmit will authorizt� the permit holder to build the subject structure
whidl it..; in cot)fli�:t with any applicable Wo,�ne 0«+ nrrs As >oc � r+tior� rubs, bylaws or and coven,ants that may restrict or prohibit such
Structure . Please consult with year �-ion-w Owne. rs Ac.,,.soclatiotl and review your de' ed for any r�stri �tiott5 which may apply .
In consideration of the granti ��� of ffiis r�c� uested permit , I da herebV apree that 1 will , in all respects, I ) er- form the work
in accorclancr with the approved plants, the Florida BUilding Modes find SL Lucie' . County Amp,, ndments .
The fallowing building; pe,, f4nift applicatinns are exerrti�rt fr011) undergaing a tall concurrency review : rooa� i addit 'lorls)
,acc:e5sury structures, swi rrl ming pools, fences, walls, signs, sct*een rooms end accessary uses to iinother non -residential use
ARNING TO OWNER'"' YOUR FAILURE Ti3 RECORD A NOTICE OF COMMENC�NIENT MAY RESULT IN 'SOUR PAYING
T ICE IFOR IMPROVEMENTS TO YOUR PROPERTYw A NOTICE OF COMMIENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE TH �RST INSPECTION. IF YOU IN'!'ENL7 TO OBTAIN FINAWING, CONSUL?
WITH. YOUR LENDER OR A#U A- ORNEY ' . EFORE RECORDING YOUR NOTICE OF COM NC MENT. ' .
Signature of Owner/ Lessee/ E:I �� tr,3r: lor <a � Agc-%vint f' ' r, Owiier Sirn �� ture of Contr' iactor/L!' c � nse Holder-
STATE OF FLORIDA STATE OF FLORIDA �
CEIUN1TY t7F ��}- �`1 �tiC� COUNTY C� F.�:�„�;`�,�� C':
The. for Di ng i n stru m e nt wa s e� ck n nwle ci �;trd b eF r�re meTt1EY for oing instrum �! � Wa5 dCICf1f�WIE!t� �,E' d before me
t his . tl �ynf Q � .�. �, Ldr� by t hi , .. ,_,....._. c.iay nf , 2C}�, by
N a. .me of per-son making statarrienY Name of person r�iaking statement .
Persongally Known �� OR Produced Identification y Personc-,flly Known ,�_ OR Produced identification
Ty}�� of 1clentification type of Identi fiCation
ProdUced _.. __ P r o d u c e d.._. ___
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( Signature of Notary Publicw State of - ' a Y pjJ13LIC ( Si�;r�atur� of Notary I� ublic- State of Flo ' ShartOrt U'Shea
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Con,ia) jlssion Na . � U—� S �jr* n�mo GG25a036 Cornmis- slon No � e TATE OF FLOR D
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RE- VIEWS � w) N 'i" ZONING j SUPERVISOR 1,' 1. 1� NS VEGETAI- ION I SEAI' URTLE MANGROVE
COUN ]" ER REVIEW � REVIEW RE- VIEW REVIEW REVIEW REVIEW
DATE' �
RECE IVED
DATE �