HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D ate : Permit Number ,:
COU- NT
F L 0 R I D
Buildi 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 - 1578 Commercial Residential X
PERMIT TYPE : Shut ter
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ROPOSED 1f1� P R�V. .. INTENT LC)CA`Ttt�IN : . . IWI
Address : 1690 N 37th ST
Property Tax IQ # : 2405-601 -0398-000-O Lot No .
Site Plan Name : Block No .
Project Name : Slater
`1 L ' D WO-R-:K :,
Installation of (4 ) accordion shutter & ( 1 ) panel shutter
C(3N�TR UCTPfl N I NF �3R i;
Additional work to be performed 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 : $ 31166600 Utilities : _ Sewer _ Septic Building Height :
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41P�t' !'d� t�/ LE E � CCC�f�tl' RA��i
Name Mary E Slater Name ,, Michael Heissenberg
Address -r. 1690 N 37th ST Company : Expert Shutter Services
City : Fort Pierce State : FL. Address : 668 SW Whitmore Dr
Zip Code : 34947 Fax : City : Port St . Lucie State : FL
Phone No . 954- 650-7661 Zip Code ; 34984 Fax :
E - Mail : Phone No 772-871 - 1915
Fill in fee simple Title Holder on next page ( if different E - Mail permits@expertsh utters ..com
from the Owner listed above ) State or County Licensell. 16572
If value of construction is $ 2500 or more, a RECORDED Notice of Commencement is required .
If value of HVAC 'I' s $7, 500 or more, a RECORDED Notice of Commencement is required .
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DESIGN EFtJENGlNEER : Not Aprr_) Iivablc� iVIORTGAGE COMPANY.•-.U' ..
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� Not Ap � lic� � le
N a ► rr e : I- Wpq;nteeo . inc -------- --------------- -------------- Na mC' :
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Address : sa5� NW ism St sane ;say Address .:.
City : M ------ 14_00--
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Zip : a� , � Phone zip :... ..... .. Phone ,,
FEE SIMPLE TITLE HOLDER : Not Applicable BONDING COMPANYip Nat Ap-pl 'lcable
Name : N a m e:
Address .*. Address :
dam
C lot V q: C *1 t y 11FP
zip ; Phone : Zip : Plione -R-L
OWNER/ CONTRAC7'OR AFFID'VlTv. Appfic-at' an is hereby made tt) c)btain a permit to do t�wcark and installation as indicated .
certify that no work orins-tallation has commenced prior to Oieipssu. ince of a permit.
SC . Lucie Co , nty makes no representatinn that is granting a permit wil l authorize the permit hold er to build the subjett structure
which is in cont# ict with any 8,ppficable Nome Owners Associatitin rules, bylaws or and covenants that may restrict or prohibit such
structure . Please, consult with your Home C�wners Association and - revi" ew your deed for any restrictions which may apply.,
in consideration of the granting of th is requested permit, I dry hereby agree that I will, in all respects, perform tht. w, ork
i n accord a nce wk h th e a pprove d pl a ns, the F lori d a Bui l d i ng C od es a n ti St. Lucie; Cou n ty Amend men ts . "
The followingbulkiding permit applications are. exempt from undergofng a full concurrency rev iew : room additions,
accessory structures, swimming pools' , fences, wells, signs, screen rooms and accessory uses to another non-residetrtial use
"WARNING TO OWNER'** YOUR FAILURE TO RECORD A NOTICE OF COMMEMEN'T MAY RESULT IN YOUR PAYING
T'i�'iCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COM"h3d""'"CENCEMENT MUST BE RECORDED AND
POSTED ON THE JAB SITE BEFORE TH . � FI.RST INSPECTMON. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ORNEY , EFORE RECORDING YOUR NOTICE OF Co hN�lil
<1
Signature of Owner) Le,� see/Cont-ractor as Agent # r "Owner Signature of ContractnrJLic� nse Holder m=w
STATE OF FLORIDA STATE OF FLORIDA-
COUNT'Y
OF 1 t��,r:�� COUNTY OF t.04
tL
The f Ding instrument was acknowledge before me 7h� fo ink instrument was 'acknowledg-ed before me
this d ay of (� • L4�� b y thi s day of (�Q-�- - , Z0� by
-M MN
Name of person making statement, Name of person maki ng statement .
Personably Known � OR Produced Ideii -tification . Personally Known �, tJR ProdUced Iden'tification
Type of Ident)"ficatioll Type of Identific' 'ation-
Prod uced Produced
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( Sighature of Notary Public- State of ' dall VVI
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p NOTARY PU��'�G (Signature �� F Notary Public- State Offlo ..' shanon ashes
Commission No. R .5 5 �1`A�� off:: �LofiC� U n7 0 NOTARY PUBLIO
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` irt�s 9l12�4 "� Comm# GG2580 8
REVIEWS FRONT � ZONING S'UPERVISOR PLAN `; VEGETATION SEA TURTL MANGROVE
CO U N "1`E R 1 REVIEW REVIEW REVIEW REVIEW REVIEW RE V IEVII
BATE -- ;--_
RECEIVED �
DATE _..._..,_ �. __...
COMPLETf, D
eve JTj1"9____