HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit Number :
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F L 0 R- 0 . A
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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
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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
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DETAILE D DE 'SCRIPTIf3N OF WORK . .. ........
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Install 5 accordion shutters
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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... ......................
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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 �
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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
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-._ ._ _.._ : _.. _..._._.._�_�___ Phone :
FEE SIMPLE TITLE HOLDER : Not Applicabfe BONDING COMPANY: WNat Applicable
Name : _ . - Name ,,Address : —�---. __ ------
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Address .
City C i t y
Z i P Phone .
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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' '
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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
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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
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COMPI_ ETE13