HomeMy WebLinkAboutapplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit'Number..
Plonning and Development, Services
Building and Code Regulation Division
Building Permit Application
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553
Fax,: (772) 4,62-1578
PERMIT APPLICATION FOR:
Shutter
\..,ommercial X
Legal Description: 1
SLANDIA I CONDOMINIUM UNIT 1809
Property Tax I D #: 4502-60 1-0 17 3-000-1
Site Plan Name:
Project Name: Stanton
Residential
Setbacks Front X Back: Right Side: Left Side: _
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Lot No.
Block No.
Install 2 accordion shutters
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rmed under
ly-Add itio n a Wor to be e rt o is permit chec--k a app�
- I HVAC
Electric
0 Plumbing
Gas Piping U
rinkl,iers
Shutters
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QWindows/Doors
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 1,428.00 Utilities: Sewer Septic Building Height,,
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Name Scott & Michael Stanton Name: Michael Heissenberg
Address: 6 Lantern Ln
City: Honeoye Falls State: NY
Zip Code: 14472- Fax:
Phone No. X85-750-3321
E -Mail:
Fill'l'n fee
simple Title Holder on next page if different
from the Owner listed above)
If value of construction is $2500 or
Roof pitch
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Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Codes. 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E -Mail: Callexpertccv,,aol-com
State or County License: 165 7 2
more, a RECORDED Notice of Commencement is required.
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DESIGN ER/E"GI.N EER Not
CL b ej MORTGAGE CUMPANY.,oble
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5 IV d 63-55 NVV 36th --,3'1 Sinte, 305.Aidr
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Ap.pl'lcable
le BU-NDING CU"MPA'NY.
FEE SIMPL TITLE HOLDER Not Applicab
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OWNEftJ COiVTRACTOR AFFIDVIT:
I certi#y ttiat iia work- or iristallatinn has c
Application is hereby made to oh" a'
i in a Permit to do the. work and installation as Indicated.
ommcnced prior to ihc, issuance of a perrnit.
author' --1(i-,1 the perm't holder to build the-, sub"ect structUre.St. Lucie Count makes no representation thatIs granting a .. ermlt will
applicable Pwhichis In con ict w'th any Home Owners Association rules, bylaws or and covenants that mav restrict or prohibi Such
Ilyc�ur 11tand lew yourhich may apply,
stl�-[Jcture- Pler-Ise consult W, -Home Owners rev" deed for any whish
In tansideration of the, granting; oftills reques-ted pelra'-dt, I do hereby agree that I will, in all respects, POrform the work
in8uildint� Codes and St. Lubj'p_ Coun-tv Ampndmpntc; accordance with the approved plans, the Ftorici<�
following building permit djJP11LdLJQ11N dr -C,, e-X-P-MP1 fr•pm undergoing d 9u11 COtICUTIency review; r004M
additions,
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ssory structures, r.--iwirnming pools, fences, walls-, sigms, s
. .......
Green raot»s and accessory uses to another non
_Q_Id,�esidential ustir
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AN
3MMU 4
4-
AVI Ali :lk i U
Agent f
�)Jandtulre of Owner/ Lessee/Coritrc
V.%.o -or ais 4r
STAT4E �OF FLORIDA
COUNTY OF
NIP
L&#A_--6dd4U A*
Owner
The f0l`gOlng Irl-Stf"Urnent was
I -u r c in e
hC t 6
*1_j day of November A_)20 by
Michael Heissenberg
.......... __ ----- ---
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Nan7e of person making staterrrent.
('er5onxjlly Known OR Produced Identification
Type of Idrritiiic�3tion
Praduced
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W-Mir- -
(Signature of Notary Public- State aenv
y
A p��,ti�
-Te 01: 11D
Commission No. 70'� My IR 36
GGA
02
ON -AWN
REVIEWS FRON7 ZSUPERVISOR
COUNTER REVIW REVIEW
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DATE __...__ ......
RECEIVED
DATE-_......... ........_..._..._._.._....._ _..._. i
CUMPLETFU
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