HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit Number :
IF .- L R --I
Building ermi t Application
Planning and Development Se- rvices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ( 772 ) 462 - 1553 Fax : ( 772 ) 462 - 15 -78 Commercial Residential x
PERMIT TYP E : Shutte r
.... .... ........... ........
'OSED fi�l1PR01E %IENT ' LOCATION : --- ----- ----
Address : 8035 Spendthrift Ln
Property Tax ID # : 3321 -502-0043-000- 9 Lot No .
Site Plan Names. Block No .
Project Name ,* Charboneau
DETA1- LE'D-' D'ESCR1 'PT1ON OF WOR
Install 12 accordion shutters
UP
CONSTRUCTION:. INFORMATION:
Additional work to be performed under this permit — check all that apply :
_Mechanical _ Gas Tank _ Gas Piping X Shutters Windows/ Doors
_ E l e ct r i c _ Plumbing _ Sprinklers _ Generator _ R o of Pitch
Total Sq . Ft of Construction : Sq . Ft . of First Floor :
Cost of Construction : $ 8P535 - 00 Utilities : _ Sewe r _ Septic Building Height :
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OWNER/ �.� ssE � coN �rRAc-roR : n .
Name Bruce L Charboneau Name : Michael Heissenberg
Address : 8035 Spendthrift Ln Company : Expert Shutter Services
City : Port St . Lucie State : FL Address : 668 SW Whitmore Dr
Zip Code : 34986 F a x : City : Port St. Lucie State : FL
Phone No ,, 772-464-5533 Zip Code : 34984 Fa x :
� . Mail : Phone No 772- 871 - 1915
dill in fee S'lmple Title Holder on next page ( if different E - Mail perm its@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 required .
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DESIGN, ER/ENGINEER -3. Not Appli ( �� k.ilF� � MORTGAGE COMPANY : _" .._. fat Applicable 1
Name- V
i A d d r e s' s Ac3dr � s � :
Citi : vi�ginot�i;... .........rec�s state F � C 'I' t y : State :
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IP : kK 1 � Phone..-- .. _ zI P Phone ' POINN i
� FEE SIMPLE TITLE HOLDER . � Not Applicable BONDING COMPANY : __ Not Applicable
Name : . . N a m E� : ..
...
Address : Addre. ss :
City = �___.---. .� W_ ,., .., .,,�,�.,..dfA. . ._._._..___._...___._ CicY � __... ....._"._�__ __._
Zip : Phone : ��.�....�.... � ..._... ........._..__.. � 7.0� p � ._ ..-- --. _.. ... Phone .,--.,
OWNER/ CONTRAC7't7 �i AFFIDVIT :,*, Application is hereby m <3dc� to obta in a PejAMjt to do the work and installation as indicated.,,
I certify that iio work orinstallation teas comnienced prior to the issuance of �s f) ermit .
St. Lucf'e County mak-es r� c� representatinn that is granting a pe rm it will authorize the perrri 'a holder to build the subject structure-
whicf is in conflict with any dp � iic<9bEt1 f io � rie Owners A4,socvaition rules , byl aws or a nd cove. n r� nts that may restrict 01" prohl' bit such
IV
structure . Please e� ns �alt with ycwr l ic] r7ie Owners �s snr;; ati on a ri cl revi ew Y o u r d i ed tor �� ny rFstrictioris which may �ipply .
lip consideration of the granting ofthis requ �stect pXlfjrnit, I do herc'lby agree that I will, in dIl t'E! 5 �7E? CtiS, perform the work
in accordance with the approved plans , the. F1orjdi,.%j Bu ` ld " ng Codes and St ., Lucie County Amendments ,.
The following building permit applications are exempt, from uritier�; c� ir7g a full concurrerz�;y review: roam additions ,
accessory structures, swIMMMS pooll .s., fences, walls, signs, screen rooms and accessory uses icy another non -residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE Off' COMMENCEMENT MAY RESULT IN YOUR PAYINC
TWICE FUR IMPROVEMENTS TO YOUR PROPERTY . A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
PO 5 TED UN THE J09% SITE BEFORE TH FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER :-. ORNEY EFORE RECORDING YOUR NOTICE OF C-0M NqMENj
Signature of Owner/ LesseeJContr ,3ctc� r as Agem' ' t f r t�wn� r Signature of Contractnr/Lieense Holder
STATE OF f"' LORIDA STOATE OF FLORICIA
COUNTY OFOUNTY OF�_L .�.r� �� - —
The fore * ng instrurne nt w.� � dcknowledgc? d befor-e rn� The forgoing insCrun� errit was acknowledged before me
� flits 1 8MPFOO&W day of Feb . .._... 20%%21 by this 1.e.8%"AA_ day of _feb ._ __.. ._..._____. , 20 21 by
Michael Heissenberg Michael Heissenberg
Name of pf�- rson rnaking stateryient., N ame of person r7iaking statement .
Personally Known OH Produced Identificir..1tion _._ __ _ Personally Known �; DR Produced Iden-fification
Type of ldenflficat4l o n Tyke of Identificati on
P ('0 c3 u t e d _
._..._...._... ......_..._.. _ Produced
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(Signature of Nott� ry Public- Stag () f � a _ ,_.._
�kRj pUBLIC of State of l c� r ' � j ShanGn O'Shea I
Commission No. GG258038 SWT A`� ��'�� NOTARY �'U��-���� �2gg036 Coninit" sslaon No . GG258038 � FATE OF FLOR '
9112t2O2 �' �', Comnrt# GG2MWO
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REVIEWS I F RO N I ZONING � SUPERVISOR PLANS VEGETATION SEA TURTLE: � MANGROVE
j COUNTER REVIEW � R E 11 Ex' W REVIEW REVIEW REVIEW R E V I E W
BATE ... __. ._.. ....._
RECEIVED
DA�'E
COMPLETED