HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Planning and DevelopmenServices
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Building and Code Regulation Division
2300 Virginia Avenue., Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE 11
41 Shutter
Permit Number:
Building Permit Application
Commercial
Residential X
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A A A 9520 Shaduw Li,i
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Property Tax I D #: 1334--.502-0110-000-4 dot No.
Site Plan Name: Block No.
Project Name: Haunz
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Additional work to be performed tinder this permit— check all that apply:
X Shutters
*-ftwb�
Mechanica
Gas Tank _ Gas Piping
Windows/Doors
Electric _ Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 7$425-00
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Name Parnela L Haunz
I Address: 9520 Shadow Ln
• Fort Pierce State: FL
Zip Code: �4951 Fax:
Phone No. 502-905-0371
E-Mail:
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
City
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
If value o
If value o
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Name: Michael Heisenberg
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-Mail- Perm its@expertsh ufters - com
State or County License 16572
f construction is $2500 or more, a RECORDED Notice of Commencementis required,.
f HVAC is $7.,500 or more., a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEERP E! MORTGAGE COMPANY* Not Ap ica.
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Not Appl'lcable BONDING COMPANY*Not FEE -SIMPLE TITLE HOLD ERIE ------------------
Appl'icable
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OWNER/ CONTRACTOR AFF1DVIT A pplication is he r��by mad� to obta in a perm it to clothe work a nd I nstauation as i-rildicatec�.
certify that no work or instal latiort has..commenced prior to the issuance of' a permit.
St. Lucie Co'unt rrtakes nogrepresent ation that is granting a permit wlil authorize the permit holder to build the subject structure
which is in con�lict with any applicable. Home Owners Associat'ion rules, bylaws or and covenants that may restrict or prohibit sucP�
structure. Please consult with your Hone Owners'
Association and review your' deed for any restrictions which may apply.
In consideration of the granting of this reestede;npermit, 1 do -hereby a'gree that i w'11, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes aid St. Lucie County Atanendm2nis. N��.
The follow'Ing buildirlig hermit applications are exempt from undc�rgr�inp a full view.,:cnncurr�ncy reroomX-7,
additi�
accessory structures, swirr�rning poafs, fences, walls, signs, screen rooms -anti accessory use
to another non-resid�nt'►aluse�
ARNINC TO O'1w'NER: YOUR'FAILURE TO RECORD A NOTICE COMMEN�EIMENT MAY RESULT IN YOUR PAYING
TWICE FORIMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT,,,,:,,USI BE RECORDEDIMPROVEMENTS
AND
POSTED ON THE JOBSITE BEFORE TH FIRST INSPECTIONo IF YOU INTEND TO OBTAIN FINAIA�;CING, CONSULT
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ANOlIddOM
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F1
ER.
ORNE-Y EFORE RE[ORWNG YOUR NATICE OF CO
S" ture of Owner/ Lessee/Coritradcir (as
igna
STATE OF FLORIDA
Agent f4r Owner
COUNTY OF
The forgo inp, instruiY)E:nt was acknowledged beforet met
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this 30 ... clay of March , 20 21 by
Michael Heissenberg
Nameof person making statement.
Personally Known �,i OR Produced Identifica-t-1-011,
_
Type of 1den'bficatio,n,,':,.,,,,:
Produced
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(Signature of Notary Publi-c- State of -' a SOT��� �C
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F1-0fk%1D;,
Co ission No. GG258038 S ��`�
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RFVIF.WS
DATE'
RECEIVED
DATE
COMPLETED
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Me
FRONT j ZONING COUNTER.&I REVIEW
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SUPERVISOR
REVIEW
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Signature of Contraktor/License Holder
STATE OF FLORIDA
COUNTY OF -A& 4.�.
The forgoing Instrument wa.,.; a.cknowledged before me
thill _30...day of March , 2021 by
Michael Heissenberg
Name of pc)rson making statement. --
Personally Known Oft Produced Identificratiffion
Type of Identi fi cation
Produced _
nr
(Signature of Notary Public- State of Hod ) E;hanOn aSt*8
NOTARY PUSUC
Commi'ssi"on Na. GG258038
Como�iG�Bfl;
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PL-ANS VEGETATION
REVIEW REVIEW
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SEA TURTLE
REVIEW
MANGROVE
REVIEW
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