HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
16
.. ...... ..
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Permit Number:
mmmnw�
Building Permit Application
rnone: IZ) 4bZ-15b3 Fax: (-1-12) 462-1578 commercial Residentia
PERMIT TYPE:
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%PRO'POS.E'D I!MP.'RO'V.E
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5812 Tangelo Dr
Propert'y 1-ax ID 4: 3402-610-0203-000�9
Lot N.
UH e
Block No.
Project NaWitte
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Additional work t
Mechanical
Electric
o be performed
Total Sq. Ft of Constr
under this permit —
Gas Tank
MEMENEEMEEM0
check a
_ Gas Piping
` Plumbing _ Spri
uction:
WEENNEENhow�
Cost ot Construction:-,;.6
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nklers
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OWNE.R/.LES'
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Witte
Address: 5812 Tangelo
GtY
Fort Pierce
St FL
Zip
Fax.
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Phone No. 772-828-3895
E-Mail:
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
If value o
If value o
II that apply:
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X I Shutters _Windows/Doors
Generator ,Roof Pitch
Sq. Ft. of First Floor:
s: _Sewer _Septic Building Height:
0''':'n�r�ACTac
N.............. .... .....
ame: Michael He'issenberg
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Port St. Lucie State: FL
Zip Code: 34984 Fax:
Phone No 772-871-1915
E,Ma'lpl permits@expertshutters.com
State or County License 16572
f construction is $2500 or more, a RECORDED Notice of Commencement is required.
f HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGN ER/ENGINEER. Not
FAORTGAGE COMPANY. A40-� Not
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FEE SIMPLE TITLE HOLDER ............... Not Appl'icable BONIDING COMPANYo Not Applicable
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OWNER/ CONTRA OR AFFIDVIT,v Application is nmade., to obtainas
I certify that t n work or insLta`
I� � + i o � has c.or-nmenced vior
to
tht.1
+ issuance
a oermit,,,
St,, Lucie County makes no representation theitis granting a permit will authorize the permit holder to build the subject structure
which is i n C on.. I ict with any a PP 1 ic iible dome 0 wners Ass, or, j at ion r•t,bylaws or' and covenant's that may restrict or prohibit such
stricture. PleaSP. consult with your }lame Owners A,sociatior) �Ind review YOUr dEl.ed for any restrictions which may apply.
In consideration of the granting of this requesC�d ��rrnit, I do �JCJehy agrecj that I will, in all respects, perform the work
in accordancew"Ith the approved plans, the Florida Buddli)g Codes and St. Lucie County Anicindments.
The following building permit applications are P,,xernj,.)t from undergoing a full concurrency review: roam additions,
accessory structures, swimming pools., f c-lncv..(a, w,slls, siggns,s.,creen rooms and accessory uses in another Holt -residential use
„ WARNING TO 01'tlNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOtJR PROPE Y. A NOTICE OF COMM CEMENT MUST BE RECORDEI) AND
POSTED ON THE JOB S[TE BEFORE THEE FIRST INSPECTION. IF YOU INTEMID TO OBTAIN FINANCING. CONSULT
WITH YOUR LENDER .0RAjY AU,..0RNEY_j
:FORE RECORDING YOUR NOTICE Of CON MIENT.,#
V.
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Signature of Owner/ Lessee/Contriactor as Agent fir -Owner
STATE Of FLORIDA
COUNTY OF`�. Li
The forgol*nginstrument was 4acknowledged befor-e me
� this 12 fay of March..........._-------- _ 20 21 b.y
i
Michael Heissenberg
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Name of person making state'ment,.
Personally Known ,�,..
� OR F'ruciuced Idetitification
"fypep of Identification
Produced..
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M............
(S-ignaturp. of Notary flubficw State nf, ridr�
Commission Na. GG258038
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DATE
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DATE
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Signature of C..c)n't1r'adoe/L1cense lioldor
TATE DF FLORIDA
COUNTY OF„ -0
Vie forgoing instrument was acknowledged before. me
t h *1 s 1h.2 ".0414040 day of March , 2021 by
Michael Heissenberg
Name of person making statement.
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Personally Knowt) . � _ OR produced Identification
Type of Identific.-ItIon
Prod uced
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