HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
VW
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Shut
PRt3Pt3SEQ I-'-M.-PR(�V�l
mns
ress: 497 S Brocksmith Rd
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Property ID Lot No.
Site Plan Name*
�'Iock
Project Name. Modine
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Install 1 accordion & 13 panel shutters
Permit Number:
Building Permit Application
Commercial
Residential X
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Additional work t
Mechanical
o be performed under this permit — check all that anniv:
Gas Tank
_Gas Piping X Shutters Windows/Doors
_ Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:
Cost of Con
Sq. Ft. of First Floor*.
Utilities: � Sewer _Septic Building Height:
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Nampm Michael Heissenberg
Bess
Expert � tt� Services,
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Fort PierceWhitmore
State&. FL A dr
fort St. Lucie
Z'1P Code:FL
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Phone No. 772i--519-0558 Zi Code-.* 34984Fax.
struction:
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E'E" r 3�L7
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Name dared C Modine
E-Mail.a
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
If value of
If value of
Phone No 772-871-1915
E-Mail permits @expertsh ufters.,com
State or County License 16572
construction is $2500 or more, a RECORDED Notice of Commencementis required.
HVAC is $7,,500 or more,, a RECORDED Notice of Commencement is required,,
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DESIGNER/ENGI NEER Not Applicable 40
MoRTGAGE
,INA...... r I.J.. COMPANY,
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Address: 635-5
NVV 36th St Sude,305
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C1 Virginia G a r( I e n s FL
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FEE SIMPLE TITLE
HOLDERV Not
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BOINDIN-G COMPANY6 Not
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Applicable,
Name.-___- rimLmm'' ,
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Address:
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pity:
Zip: Phone:_
UVVNtK/ LUN UP ALI UK A111LIVI I : Applic�tinn is hereby made to Obtain a permit tp da the work and installation asindicated.
I certify that no woisk or instillation has commenced- prior to the issuance of, a permit.
St. Lurie Count makeS no representation that is prancing a permit will author'l'ze the permit holder to build the SuUject structure
which is in coriflict with any applicable Home Owners.Association rules., bylaws or and covenants that may restrict or prohibit such
tructure. Please consult with your Home Own(?rs Assoctation and review your deed for any restrictions which may apply,
it) conside.i A ation O'f the granting of this. requested permit, I du herctby agree that I will, in all respects, perform the work
in accordance. with the approved plans, the. Florida Building Codes and St,, Lucie County Amendments.
the following building permit applications a re exempt from und+�rg���rig a:f uA cnncurrency review: r�oarn additions,itions,
accessory structures, swimr��iri�f pools, fences, wails, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT i-N YOUR PAYING
T ICE FOR iMPROVEMENTS TO YOUR PROPE Y. A NOTICE OF COMMENCEMENT MUST 13E RECO
RDED AND
VOSTEV ON THE .JOB Sli'E BEFORE TH r FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER t3�t� __,_ _ ORNEYIEFORE RECORDING YOUR N01ICE OF COMMEPiCA&MENT�
Signature ofOwner/ Lcss
eeJC()nl:rartrArentr aArentf �� Own E'r
STATE OF FLORIDA
COUNTY
07
The forgoing instrument was acknowledged befo, re me.
this, 6__d�,ynf November 202-0- ray
Michael Heissenberg
Nfinie, of Person rnak'ing statement,
Personlq:flly Known /-- �� CO.)
)� r ot�u�ed
Type of Identi f tdcation
Produced, d "Cd .0 &a)" # r..#.p r i di e d . d .........
(Signature of Notary Pubic- State oft
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Commission No.('1.��
REVIEWS
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Signature of Contractor/Li"cense Holder
STATE OF FL RIDA
CO U N'TY 0F
The forgoing instrument was acknowledged before me
this _6,_.. day of _November , zp20 by
Michael Heisseriberg
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Name of person making. statement,
Pc-irsorially Knowti � 0R Produced I d P. n t1fi cat'l, o n
lypc of Identification
Produced.
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(Signa,ture of Notary PUiolc- State of Flo. ' ) Shanon
Coaiml'ssion No �j� �c,�� � � � � NOTARY PUBLI
�' TATE OF FLOFt
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SUPERVISOR PLANS
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