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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date : Permit Number : N. r� F L 0 R-­ 0 . A • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone : ( 772 ) 462--al.553 Fax : ( 772 ) 462 - 1578 Commercial Residential X PERMIT TYPE : Shutter ........... PROPOS- ED IMP-ROVEME OCAT. ION . > Address : 4801 Eagle Dr Property Tax I D # : 1312 -801 -0043-000-3 Lot No . Site Plan Name : Block No . Project Name .. Rubino --- ------------------ DETAILE D DE 'SCRIPTIf3N OF WORK . .. ........ ------------ Install 5 accordion shutters ---- ----------- -- ------- ---- ------------------------ -------- ---------- ----- - -- -------------------- CON'STRUCTIQN INFO �IAT ( � N : � �4 lee Additional work to be performed under this permit — check all that apply : _Mechanical _ Gas Tank _ Gas piping X Shutters Windows/ Doors EMEMEMM _ Electric _ Plumbing _ Sprinklers _ G e n e r a t o r _ Roof Pitch dotal Sq . Ft of Construction : Sq ., Ft ,. of First Floor : Cost of Construction : $ 3 , 071 . 00 Utilities : _ Sewer _ Septic Building Height : OwNtR/ LESSEE ' .� ,.f , : � Fm CONTRA R... ...................... - __XzZ_- -- ------- Name -AnthonyName : Michael Heissenberg Anthon A Rubino Address : 4801 Eagle Dr Com anY � Expert Shutter Services City : fort Pierce State : FL Address ; 668 SW Whitmore Dr Zip Code : 34951 F a x : � City : Port St . Lucie State : FL Phone No . 772-460- 6318 Zip Code : 34984 Fax : E - Mail : Phone No 772- 871 - 1915 !Jll in fee simple Title Holder on next page if different E - Mail perm1ts (§ expertshutters . com from the Owner listed above) State or County License . 16572 If value of construction is $ 2500 or more , a RECORDED Notice of Commencement is required . If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is requir ed . SU1 PLEM If�S C.0'NSdT.R-UCT1u1V- _ LIE,.N � IN-F-0filVIATIOiwi DES1-GNER/ ENG1NEER :,, .�_�:.. _ Not API) licable -, ,pr, . ; � MORTGAGE COMPANY: Not Applicable� y � I ........ N � tYl � : Tiitecx�. inc _ _.._ _ . N i3 iTle : ! I AddreS S ; fi355 NW 36th SI Suite '�p5 y A ci d r�e s s : Cl vir� -----------in�rc7mraens state4 r=t, City : �..�. ta �E : ztj3 ; 33rh� p �lOP1 2zip _..._.._.._. -._ ._ _.._ : _.. _..._._.._�_�___ Phone : FEE SIMPLE TITLE HOLDER : Not Applicabfe BONDING COMPANY: WNat Applicable Name : _ . - Name ,,Address : —�---. __ ------ -------------- Address . City C i t y Z i P Phone . z I P P h f.) n e ------------ -- ------------------ OWNER/ CONTRACI*OR AFFI .DVIT , App � icat , «n is hereby ma-de to obtain a permit to do the work and 'lpnstallati'on as indicated . certify that no work car installation has commenced priori to the Is issuance: of permit. St . Lucie County makes no repr�sentaEion that is granting a perrrilt will authorize the permit holder to build the subject struct,ure which is in conflict with any applicable Homy C3wners As1nciatipn rules, byliiws or and cov-enants, that tnay restrict or prohibit such structure. Please consult' w ; ti � your Home. Ownczwrs Association and review your deed for any reSCrictinns which may ax� piy , Iii corisideration of the granting of this requestecJ permit, I do hereby agree that I will , in all respects, perform the work in accordance. with theapprovt� d plans, the. Florida Building Codas and St. Lucie County Amendments. the following building permit applications arF, expmpt from ur7dc� r�, r.� ii� � a f'ull concurr nCy reVl�w : rt7prr� a� � itions, acCe5sary structures, swimming pools, fence., s, w<� ll � ,, si ,nr� s, screen ruvn) s and accessory uses tc� another non-residential use ARNING TO OWNER*. YOUR �A1Lui2E TO rr�:CORI� a NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINC Tl'ViCE FOR IMPROVEMENTS �'O YOUR PROPERTY ,, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOH SITE BEFORE TH , FIRST INSPECT1014. IF YOU INTIEND TO OBTAIN FINANCING, CONSULT- WITH YOUR LENDER Q_ R ' _. ....... ---ORNEY EFORE RECORDUMCs YOUR NOTICE OF COM Nt MEN' ' _.......... 6bi Al Signatwee of Owrier/ Lessee./Con tractor as A� Ent ( r C)wrr} er � Sipnatur� of Con­ trr-,xtor/Ljcer) -s- e Holder STATE OF FLORIDA S 'T'ATE OF FLORIDA COUNTY OF �' L�,.�C��� - -._..._... . COUNTY 0F­IW-, ' 11' �, t��. (-� The forp,,.Ding ir� strum � nt w a s aa. nie I T�hc} tur Ding instru pot was acknowledged b�fore methis �_ day of _ �S',b. .... _...,� 1 �,�L..L by t h i5 D�� d a ci f -------- 2 0,J2 b y Name of Person maki ng staterner, t . � Name of person making statement, Persc)nrflly Known , OR Producoci Ideti -tificatior� .... ....__ _. Personally Knc) wn . � _ t� R Produced IdentifiC�tion �� Type of Identification Type cif ldentific �,itlon Produced prUtli, ced Is (5 "gnaturo.- of NoWry Public- State c3 ( & —"" ---� � G NOTARY PUBLIC ( Signature of Notary Public- State of FlorConarnissior � No . I � 7A`f� CJ� FL.tJ�1� � � Shanon s�4.... � 5 l NOTARY PUBLI Comm# GG258g38 Commission No. � v. -- e TATE OF FLOR D 00* Comm# GG2580 REVIEWS � � R � NT ZON ING S UPERVISOR 1" I.- ANS VEGETATION SEA TURTLE: MANGROVE C0LJN 'JTR REVIEW Ft � V I (_ W REV { CW REVIEW REVIEW REVIFW DATE RECEIVED DATE ------ --- COMPI_ ETE13