HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Add
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34,982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Shutter
Permit Number:
Building Permit Application
Commercial
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Residential X
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ress: 8004 Citrus Park Blvd
Pro pe rty Tax I D # 1 Ju 1 -uv v-u 1 J&+-uuu-Q SOT NO*
Site Plan Name:
Block No,,
Pry Name: Smoot
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Install accordion shutters
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Additional work to be performed under this permit — check all that apply:
_Mechanical _Gas Tank _Gas Piping X I Shutters Windows/Doors
_ Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floors.
Cost of Construction: $ 41080-00 Utilities: _Sewer _Septic Building Height:
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Name Theodc)re June Smoot Michael Heissenberg
8004 Citrus Park BlvdCompany., Expert Shutter Services
ress:
City.- Fort,, Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 772-242-1371
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value o
If value o
Address: 668 SW Whitmore Dr
City: Port St. Lucie State: FL
Zip Code: 34984 Fax.
Phone No 772-871-1915
E-Mail permits@expertshutters.com
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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.
SUP'PLEMENTA,ob Y�✓NV 1 iu 9 �0--N ��W ����Arl �l l�l O
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DESIGNER/ENGINEER6 Not A �Plivable ____..� .�_.. �fidiih .._.�._..� MURTGAG� COMPANY': _...__ NUS Applicable {
NaMe-0 Tf;tFW Inr.;. ------ Nr"li'iiE':
Address; yas=, NVV ism sr Su.tf� :sn� Address.
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CIty: virgrnu C9ardens State: FLC'10 t y
State
zi�: Phone Z1p;s
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SEE SIMPLE TITLE HOLDERV _ Not APP 1cable BONDING COMPANY* Not Applicable
Name: Name: --------------- - -- - --------------
Address: Address:
Citycityk
�i Zip Phone., —� Tip: Phone.,
OWtVERJ CONTRACTOR AFFIDVITvL Ap�licatian is nAertn�by made to obtain a permit to do the work end instailatinn as indicated.
I cerd"'ty that no work or installation has commcinced prior to the issuanc�� of �, PE�rmit.
St. Lucie COUn no representation That is granting a permit will authorize the permit holder to build the subject structure
which ir.s in conflict with any app(�cable h1om�� Owners AssnrFation rules, bylaws or and covenants thrit may restrict or prohibit such
structure,. Please cons.uft with your Nome Owne-r-s Association and review your deed fur any restrictions which may apply.,
Ire tansideration of the granting of this re-quEsstE>d permit, I dry hezreby agree that I will, in all respects, perform the woriz,
in accordance with the approved plaid -is, the HorIda Buildi�,g Lodes and St. Lucie County Amendments..
The fallowing building; permit applications are. exeryipt from undergoing a full coricurrency review: roam additions,
acc-es-sory strixtures, swimming pools, fienCes, waNs, sins, 5CrP�n rO0YYi5 dY1d aCce55Ury uses t0 anothc,ird nosy -residential use
"WARNING TO OWNER.4. YOUR FAILURE TO RECORID A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINC
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECOPdXD MR)
POSTED ON THE JOB SITE 13EFORE THf� FIRST INSPECTION. IF YOU INTIEND TO OBTAIN FINANrIlUr cnfac-A is r
WITH Your LENDER CO'.
r-ORNEYA
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Signature of Owner! 1.-esssc�e/Cor)trador as
STATE OF FLORIDA
COUNTY OF
FO..... R..... E RECORDING YOUR MOT
ICE O
F CO
Owner
The forgoing instrument was acknowledged before, me
this #~u 12 day o.( _March 1 2021 by
kbft
Michael Heissenberg
Name of person mc{king statement.
Personally Known OR Produced Identlfic�tion
1`ype c7f Identification �-��-
ProduCed
(Signature of Notary Public- State of a �p704kRY pt)BUC
Cornmisslori Na. GG258038 S �A�{E b� IF L.URIC�
COMM# t3t32£s8n'3B
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DATF
,,,-RECEIVED
DATE
COMPLETE.D
evor i M
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COUNTER
ZONING � SI.JPERVISOR
REVIEW REVIEW
I I.W.0 L � � d ......
MENT
signature ot Contractor/ Lic' e ns.e Holder
STATE OF FLORIDA
COUNTY CIF
IL
The forgoing instrument was acknowledged before. me
this 12, di)y of March , 2021 by
Michael Heissenberg
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Name ol person making statement.
Personally Kn'v/ OR Produced IdenLif"ication
Type of ldc�fltifi"C*,4von
ProdUC(NJ
(Signature at Notary Public- State of, F101•' -�) stlanon af;ttoa
GG2580618Np7RRY Pl1Bi.1
� TATE OF FLOR 0
Cornm# GG2580" 8
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