HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit Number :
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' CO-U:-N Y
F L a R I D - A - —
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M Buil ding Permit APPI ication
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ( 772 ) 462 - 1553 Fax : ( 772 ) 462 - 1578 Commercial Residential V.X
PERMIT TYPE : Shutter
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PE�5 IIV. PRM � NT ICIC� `�tJN : _- �-. 1
Address : 6600 Penny Ln
P ro pe rty Tax I D # : 1301 -6111 -0214-000-6 _ Lot No .
Site Plan Name : Block No .
Project Name : McMullen
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QETAlLED DESC 'TY.
IUN OF O R . - T
Install 1 accordion shutter
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CONS- -'TR' U N II�FQ RI116ATIQN : � ',
Additional work to be performed under this permit — check all that apply :
Mechanical _ Gas Tank _ Gas Piping X Shutters Windows/ Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq . Ft of Construction : Sq . Ft . of First Floor :
Cost of Construction : $ 969 - 00 Utilities : � Sewer _ Septic Building Height :
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OW'N'� R/ L� S S� E � `q �' I -N-T-RA *O"Rho
Name .......
................ . .
Karin McMullen Name : Michael Heissenberg
Address : 6600 Penny Ln Company : expert Shutter Services
City ; Fort Pierce St a t e : FL Address : 668 SW Whitmore Dr
Zip Code : 34,951 MEN* F a x : City : Port St. Lucie State : FL
Phone No ,, 772-460- 1692 Zip Code : 34984 Fax :
E - M ail : Phone No 772-871 - 1915
Fill 'in fee simple Title Holder on next page ( if different L - Mail�perm its@expertsh utters com
from the Owner listed above) State or County License 16572
If value of construction is $2500 or more,, a RECORDED Notice of Com men cement is required .
If value of HVAC is $7,,500 or more, a RECORDED Notice of Commencement is required .
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DESIGNER .-Not Appl '[' cable
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0 W N E R/ CO NTRACTO R A F F1 DVIT ,!,, App I i cat'i on i S he reby made to 0, bta I n a pe, rm' 'it .to do th e i nsta I I at.6
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i certify t�iat no work or ' nstallaflon has commenced prior to the issuonce ---
errnitholder
ad n ywhichis in cOnflict with appiacable e owe r iai uses a1_
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structure , - cons Ownei-5� As5ociation and review your deed for any restnctions whith may appi
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by agreethat In consideration of the granfing of this requested pc'lrmit, I do here
I will , *In all respects, perform the-dments .. L
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the Florid' Building Codes
-�,ordancein acc. w � the approved plans , I a I.
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ft ap i x fro m e of full cone t 5�h•.�".ti5•.::.:_ti-f. !L.
%The following ' pi � ' m di
review : roo ' ad qkt
accessory screen m li access seerep wim ifences,
ARNINC OWNER: YOU'R FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAC RESULT IN YOUR PAYINC
TWICE FOR IMPROVEMENTS TO YOUR PROPERTYa A NOTICE OF COMMENCEMENT MUST
POSTED ON THE JOB SffE BEFORE 'TH F1 INSPECTION . IF YOU IN1 LND TO
ITH YOUR LENDER .G N ORNEY EFORIE RECORDING YOUR
NOTICE01F CO
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Signatu-r' e of Owner/ Lessele/Contra : Dwne
Signature of Contractor/License Holder :
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STATE OF FLORIDA STATE OF FLORIDAX.F
COUNTY OF ---------------F-------- --------- -
COUNTY OF ftAlfdk
F•. forgoirig.
A +i � + umwas� acknowledged befo.re .ryl .
Thp forgolr'ig instr i efit wasacknowledged b0ore rvie Clow - .Y hY`--
this day 2 this 41
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REVIEWS
VEGETATION TURTLE MANGROVE
COUN E_ REVIEW
REVIEW REVIEREVIEW REVIEW
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RECEIVED
DATE
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