HomeMy WebLinkAboutBuilding Permit Applicationu
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Building and Code Regulation Division
2JUV Virginia Avenue.... Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Shutter
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Address
5715 Place
Permit Number:
Building Permit Application
Commercial
Residentlal X
Property Tax I D #: I J I z-buJ-uu (2-UUO-O Lot No.
Site Plan Name: _ _ Block No.
Project Name,* Foy
Install 10 accordion shutters
Additional work to be performed under this permit — check all that apply:
Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction.,lk
$ 6,584.00
_ Gas Piping X Shutters ,Windows/Doors
_Sprinklers _ Generator _Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
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Name Tod Foy � Name: Michael Heissenberga
Address.* 5715 Place Lake. Dr COM an�Expert Shutter Services
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City: Fort Pierce State: FL Address..668 SW Whitmore Dr
Zip Code: 34951 Fax: City: Port St. Lucie State: FL
Phone No., 802-345-4685 Zip Code: 34984 Fax:
E-Mail: Phone No 772-871-1915
Fill in fee simple Title Holder on next page if different E-Mail permitseexpertshutters.,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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OWNER/ CONTRA OR AFFIDVIT-v Applica'Lion's her�lay iz,�uie to. ofitain a fir � rnit to do the work ;and insfiali(ation as indicated,
I certify that Sao work or installation f-)as corml-ienued Prior to the issuance of a permit.
St Lucie Cou nt mikes nc� rip, { �.:entation chat is grankirrg ap(- II�� Hilt will �uihorize lh� pt�rrrut hgldctr to build the. subjeCt strUdUrewi`ch i; in cotlflict with anvapplicable Hone Owners Atsociatior� rules, bti�!aws or and covenants that niay restrict or prohibit suchPlease cotisliIt with yUUf h'IOI11� C)Wt1E?I'; Assnz:iatioi� ili1 review your feed fur aiiy restrictions which may apply,,
In consideration of the granting of this requesLed perri"k, I do'. hc��rtk:y agr-(313 that I will, inall rt�sperts, perform the work
in accordancp with the approved plans, the. Florida [W"Idli��; Cocl�s �r;d S►,. Lucia County Amendments.
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I ne tollowing building permit aPz�lir.ations art pxe�mpt f'rpm und��'gaitog a fWll canct�rrency review: rporn additions,
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'""ARN1N� TO OW�iER: YC1UR FAI�,lJ12E iU I�CORp A NO71C,E 0�" Ct}h1MEniCEi�EN"f irIAY RE5t1LT IN'YOUR PAYMiG7WlCE FO�i IMPROIYEJI�ENTS '�'O YOUR p13:�1PE1�iY_ A W'�Td2:E bF '�ONilMEiYCEM�:NT MUST BE itECORbEri AND
POSTEL3 Q�1 THE JOB ,1Ti BEFORE 'THE, �FIitST IN5PEC�s"RiiP�. iF YOU INTEND TO d8TA1N 1F1ae�ucHNr, rnw�� �I �w
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Signature of I
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STATE OF FLORIDA
COUNTY OF
'rhe forgoing I
'Lr)!�PtWrrient was acknomole W
d.e-d bc--for%,_I n-i
this 22
(jely 0,1" Mar..
2(o)21
y.1 by
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Michael He'issenberg
Name Of person making statement
Person -ally Known .. ,1 -OR ProducedL dF
icientific;�icinn
'i"ypES of Identl f I La ti On
Producc�ci
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