HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST SE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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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 Res"Ident*la
Permit Number,.
Building Permit Application
PERMITTYPE: Shutter
PRO POSED
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Address: 14097 CISNE CIR
Property Tax 1D#& 1306-w-501-0570-000-6 Lot No. ko
Site Plan Name: Block No,.
Project Name,: Cerat
Install 7 accordion shutters
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ON
:..,CONSTRU'CTION'.1-N-FO'R.MAT,I.'-
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Additional work t
Mechanical
Electric
Total Sq. Ft of
Cost of Construction: $ 3,053,00 Utilities:, _Sewer _Septic Building Height:
o be performed under this permit — check all that
_Gas lank _Gas Piping
Plumbing
1 _Sprinklers
Windows/Doors
Roof
Construction.
apply:
X Shutters
Generator
Sq. Ft. of First Floor:
Pitch
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Name William Cry Name: Michael Heissenberg
Address: 1Cisne Cir.Companym Expert
Fort PierceState:# 6u SW Whitmore
city* L d ressl
34951 Port St. Lucie a FL
Zi Fix. 0f State
Phone No. 772-468-9459
F-Mail:
Fill in fee simple Title Holder on next page 'if different
from the Owner listed above)
Zip Code: 34984
Fax.
phone No 772-871-1915
E-w-Mail permits@experts11utters.com
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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DESIGNER/ENGI-NEER. Not Appli'ca.ble
MORTGAGX,-COMPANY, Not A 11'cable
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a permit to do the work and instdilationOWNER/ CONTRACTOR AFFIDVIT* Application Is -hereby made to obtain- as indicated..
.no work or installation has commence-d prior to the issuance of certify that'' a permit.
or and covenants that may restrict or prohibit -such
St. Lucie makes no repres-emat'l'on that is. granting a permit wiii ':authorize the Permit holder to build�tfie sut�ject structure
iswhich . in confiict with any, appficabie Horne Ownears Association rules' bylaws
structure., Pleas,.�e consult wIth your Home Owr��rs Associatinn and review your' deed for any-restridions which may apply.
In consideration of the granting of this requested perrr�it, I do hE�rehy agree that I wiil I in all respects, pe-.form the'work
in accordance with the approved Mans, the Florida. Buildin'8 Codes and St. Lucie County Amendments..
The following building permit applications are exempt from undergoing a full cancurrency �_evlew: room additions,
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eaccessory structures, swimming pools, fencll"VYARNING TO OWNER90b YOUR FAILURE TO RECORD NOTICE OF Ci1iVIMENCL'MEIIIT MA'S RESULT IN RPAYING
TWICE FOR IMPROVEMENTS TO YOUR PROf�E�tTY. A NOTICE OF COMMENCEMENT -MUST BE RECORDED AMID
POSTED Oi11 THE JOB S E BEFORE T1i FIi2Si lNSPECTfON. IF YOU 'END TO OBTAtN FIIHA
I�IITIi YOUR LENDER {)R-�1N AL7ORNEY EFC RE RECORDING YOUR NOTICE OF COM�IItC�MEINt
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gnature of Owner) LesseelCc�ntractor a=. A�;E�nt. fir
jNWP168�
STATE OF FLORIDA
COUNTY t3F L.
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wner Signature o Contractor/License H older
The forgoing instr enC was acknowledged before me
a �_,,._._1fl_�-by
thi-S of ki1- A#j6F4LF*jLj,.f4k�6"
Name of -person making statement, J
Personally Known ���OR Produced Identification ___
Type of Icicar7tifiication
F'roduced
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(Signature of Notary Public- State of
...ommission N
RF.VIEWS
DATE
RECEIVED
DATE_._._.,...._
COMPLETED
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RE -VIEW
ING, CONSULT
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T ATE OF FLORIDA
COUNTY OF -k ----------
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The for , of sr merit was acknowledged before me
this day o ...%20 by
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Name. of yaerson making statement. ���
Personally Known OR Produted Identifiratiar)
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