HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
ilding Permit Applicati
Buon
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: shutter
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Addresse
5675
P ro perty Tax I D#Is
1312--502-0180-000-7 dot No,,
Site Plan Names. Block No.
Project Name.
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accordi P n shutters
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Additional work t
Mechanical
o be performed unde
Gas Tank
r this permit —
check all that apply:
Gas Piping X Shutters
vlmp�
Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Constr
u ct 0i o n:
Cost of Construction: $ 8,982.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _Septic Building Height:
R' L E'S'S: Lai
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.......... __________________ aa,-________,i, r, r_a_._._i._++fi-Fi-i-'�+++++�-F+•aaa, as aa.a aa_ -----------+ate-a..+�--------------------1 _. ..•
Name Terry Miller
Address: 5675 Sunberry C
City: Fort Pierce State: FL_
1 34951
ZiCode.XG
Phone No. 772-370-0176
E-Mail.10
04 =40
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of
If value of
construction is$Ln3uu or more, a RECORDED Notice OT Commencement is required.
HVAC'I's $7,500 or more, a RECORDED Notice of Commencement is required.
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Name* Michael Heissenberg
Company: Expert Shutter Services
Address: 6138 SW Whitmore Dr
City: Port St. Lucie State: FL
Zip Code: 34984 Fax
Phone No 772-871-1915
E-Mali Perm its@expertshufters -com
State or County License 16572
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DESIGNER/ENGI P1
NEER.
a-MVx fAORTGAGE COMPANY, Not AP 1cable
IN
N a M e * Tifteco, Inic, I
------ Name:
S S 6355 NW 36th St SuRo 305 *Addre
Ad d r e
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��rLSyyySLfl�y.��LFL'.�MrLyL�r�iy'LYyy M.L.1i J. 1'�til. Ji J1iLai��1.S����Y ate
City*% Virginia Gardens State: Ft..
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FEE SIMPLE TITLE HOLDE-R,*, P
*cable
PP
Name.,
- - --------------
Addres
---- ---------- ..........
s:
Name,
Address.
MY 4
ClbtyqF
* Cif yV
z V Phone.,Phonek,_
OWNER/ CONTRACTOR AFFIDVIT*,
Applica-t"on's"'h
ereby made. "to obtainas indicated.
certify that no work or installation has commenced prior, to the. ISSUAnce of a permi .
....
St. Lucie County makes no representation that is granting a permit tiviH authorize the perrYiit holder to bui id the subject structure
which is in conflict with anyapplicablie Home Owners Association rules, bylaws or and covenants that may restrict or prohibitsuch
structure. Please Ct)I15Ult withyour Home 0wnersAandsnriation '+VIFfW your-deedfor any restrictionswhici9 ma
y oinnl.. C4"--
,,
in consideration of the grantirjg or this re,,u�st�tl permit, I do hereby ��rce that 1 will, in ail respects, perform the work
in accordarice with the. approved plans, the Florida Suilding.Cedes and St.. Lucie County Amendments."
�
are T�ic fvi�
iiuw�guiii�g permit dF+NrIc.dtiuity �'xF{il(3C from llft(ieY�;DIt1Q c± TUIi COIICUr1"e11CV C@VIEW: room c�tltlltlUl'15
accessory structures, swir-rimi-ng fools, fences, walls, signs, screen rooms
"WARNING TO OWNER
and accessory- uses to another non-wresidenti-al use - -
O. YOUR 'FAILURE TO RIECORD A NOTICE OF COMMENCEMENT MAY
TWICE Fors IMPROY ENTS TO YOUR PROPE Y.
RESUL"r IN YOUR PAYMC
A NO CE OF COMMENCEMENT MUST BE RECORDED AND
POSTEI) ON THE JOB SITE BEFORE TH FIRST INSPECTION.. IF YOU INTEND TO OBTAIN FINA.., INCl CONSULT
WffH YOUR LENDER 0 -s�(Y A�ORNEY EFORE RECORDING YOUR NOTICE OF COMMIENE°6ME1N'[�'`'
tv� - 1 6C
AN
g /Ij
Signature of Owner) Lesi'see/Cont'ractor as Agent f
STATE OF FLORIDA
COUNTY OF------------ -
LtA�,
The f r Ding instrument was acknowl�:d�;eci befo-re me
this day of �• _, 2�U t)y
mod~
IC G� I S
Name of person making sty#ement.
Personally Known ,�/ --- _--- , OR produced Identification
Type of Identification
Produced
W1
IMF 1
i
r
Signatu re. of Contractor/e Holder
STATE OF FL
RIDA
COUNTY OF
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The fo ing Instrument���was acknowledged before me
this N d ay of :r ad.S��.S__. , �0 by.
i
Name_of'
person making sta#ement. „�� '=4I ;,
Personally Known...W. DR Produced Identification
Type of Identification
Produced
...........
9-iiii")n A (A In - %-I
'
(Signature of Notary Publlc- State of a Onuf -1 %:w - Ps(Signature of NotarvPubit'
r� Stateo6 Fl..r�
Commission lVty.
FRONT
COUNTER
....
DATE
RECEIVED
DATE
COMPLETED___PPPPP �4'N.L-r-
ev. 2[7'- 9
zorvitiG
REvikw
ShanonUShea
so*TARY .."C}4�iC7r , ., � ..� i
x"tet1� �L- � 0 NOTARY PUBLI
Comma W036 Commission No.,
___ : . .- . ------ e 7A'i� OF FLOR D
� ires 9l12tZn� _ fit Comm# GG2584�8
1
SUPERVISOR
REVIEW
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}'TANS VEGE'TATION
REVIEW REVIF&W
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SEA TURTLE
REVIEW
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MANGROVE
REVIEW
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