HomeMy WebLinkAboutbuilding permit application11 APPLCA p Le 0 N F 0 P0UT BEDate: CC :
ED FOR AP P Ll CAT-10 N T
��.
Planning and Dev&*ment 5ervice,5
Permit Number:
BU�ldi_ng Pe.rnnit Application
Building and COde R-egulation Divisfor?
300 Virginia Avenue', Fort pierce FL 3
4982
PhOne: (772) 462...1,5-53 Fa-x.' (772) 462-1578
COMMercial
0 r
xesiaentiai xxx
'PERMIT APPL'CAT'ON FOR'Accordon Shuttinrr%
i
---
PROPOSED 1WP40'VEME VT LOCATION: lu
Address: 10701 S OCEAN OR 77
ProPe rty Tax I D , 4 11- 805 -017 -OW-
LET 17 �F -27: 1 0 1 5-4 1 : 145 _ -
Lot
Project Name. Th O Pon 8 � � -� � 8J o ck N 0_
oErarLED DESCRIPTION OF WORK:
install Accordion Shutters - 8 openings
Secznd El ctrrcaf Meter
CONSTRUCTION INFORMAT10tid
Additional work to be performed
,.—Mechanical
Electric
Gas Tank
Plumbing
under this permit — check all that a
Gas Piping
Sprinklers
Thal Sq, Ft Of Construction:
OWNER/LESSEE:
Name Richard M Thornp cn (TR) ic)re M Thom
pson (TR)
Address: 10701 .. 3
Cam; Jean Bewh
iP Code: 34957 State:
done No.
E-Mail:
Shutters Winter
s Pond
Lne ra for � Rood
Pitch
q. Ft. of First Floor;
Utilities: &ewer.Septic- {
ght-
CONTRACTOR:
Fillin fele siMPle Title Holder on next page ( if different
frOr" the Owner listed above)
Name., JonathanStarr-a#t
O m Pan y., White A lu rn t rfu rn
Address; 2 933 SE Gran Par-# way
- : Stuart
Zip Code: 34997 eta te ; FL
Fax:
Phone No 772-692-0090
State or Count r irpn s Ciar i
If Value of constructfon is 2500 or ni
If va4ue of PVC 7, SW or tee{ a RECORMiDOrnmenCemes rq u iredt
Conwneixemeat is F
i rI Ift9%1 9-A i 0-... - _ -
r au r-rLr. r_1 L 0 T CT1LIEN LAW INFO
1U LK/LNUINEER: Not Applicable
Name,
Address:
city, -�
i _ State.
Phone
FEE SIMPLE TITLE HOLDER; x Not
APPlicable
ddr e Ss
City:
Zip:
hone.-
DWNERI rnnUrOdrrno w rri�„� _
ORTGAGE COMPANY: X Not Applicable
'Address.
City: tat
rye+
BONDING COMPANY; Xot
Name: Applicable
Address:
City;
i Phone:
1 certify that no work or instaN atinn teas rr r err ed prior permit d h word and � s a� a 1n oie
to the issuance of a permit.
t. Lucie Courrt aes r�o represent�ti on that is granting � a h+cF'x is in cor�ict with are ali � � �e�rr+it ilr a�,tt-r�ri�e thepermit
p cable Home owners Association rules, bylaw s �r are �co��'�I der to �� � id the subject structure
structure. Please consult t your Home rAssociation and r ants that may restrict o rprohibit
review your deed for any restrictions which may �, f ' s��l�
In w deration of the rantin of this ren"ested rr �t
n o a b r ors I do hereby agree that I will, an all respe ts, perform the work
da Bu i I dGng �'3d cs a n� fit. E u nt Andrr�ents.
The follow -Inn building Per it applications are exe.% r.t fr�rr�
accessory structures, sw rni ng pools, fences P un dergoing a full con curren cy review morn add! tions,
walls, signs, screen rooms and accessory uses to another non-residential
WARNINGTo OWNER: Your failure to Record use
� � r��� � ��� �� your r� � ��t��� �� �mr�encement aresult Nr� paying twice
property. Notice of ommene en must be i for
Lucie oU nt and posted n the ��.��t� ��f recorded f r� the public records �� t,
with lender r aattrn� � �r� t�� fiat i����ti�nf �� � i�r�� t� �bt�fr� financing,
e commencill1or work or re
F - Cordiniz Vour Notice of oenceent,
X4,
Signature Of Owner
STATE OF FLORID
ess
Contractor as Agent for Owner
Sworn to (or affirmed) and subscri bed be -fore MP Df
Phvsica l Presence or Ong i n e Notarization
this play of 2020 b
_Jwathan iarra#t
NaMe of person Making statement.
Personaliy Known _ OR Produced Identification
Type of Iden ificati:on
Produced
nature Of tart' PjibIic- State of FI CAda
RFIFW .
DATE
R E C E I L D
DATE
COMPLETED
ev.
zl�.
"PW-W,
Signature of Contractcf/Uce'Vb Holder
STATE of FLORIDA
lrlI T or- mat.
Sworn to (or affirmed) and su bscri bed before me of
sical Prese a Online ��,I tarJ atJor�
this � ��y �f a020 b
Jonathan Sf&TatL
dr
�Tl I Pef�-UfI !fld dry t iIfeeit.
Personally Known x OR Produced i dentificab ors
T pe of Identification
Produced
(Signature PArQr �u�iic- Stat.
A
f r L ) - - - - - - i --
Notary Pl to of Florida
f
•Are e� a
E x ir�a5 0710412022
FRONT CCIT -
TIP EETATI N SEA TURTLE
RE' IE REVIE REVIEW
1I I REVIEW
4
4�
MANGROVE
REVIEW
0