HomeMy WebLinkAboutBuilding Permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number;
t&
Planning and Development Services
Budding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE : Shutter
Building Permit Application
Commercial
Residential X
Property Tax ID #: 1 1 - , 0 1- 00-
-�- Lit N o
Site Plan Name: Block No,,
Project Jt rye: Blanchard
CONSfiRUCTtf}tU
CNFC)RMATION:
Additionaf work to
be performed under this
permit
—check
all that apply:
�Mechanical
_Gas Tank
_Gas
Piping
X Shutters Windows/Doors
E Ict rlc
Total Sq. F# of Construction:
Plumbing
Cost of Construct -Ion: 5 2,016.00
_Sprinklers
Generator
q. Ft, of First Floor:
Roof Pitch
Utilities: Sewe r � Septic Building Heights
- - - : SS_ __}.:
...
. .
OWN E.R/. E
Name Roland Blanchard
Address: 114 Queen Ann Ct. J
city: art Pierce
State: FL
P Code: 34949 Fax:
Phone No. 7-0
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
57
TR .. .. ..
.:.CON . T�.......
'..A( OR..: : `•'::
.....
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
it - Port t. Lucie FL
- State:
ZipCode. Fax:
Prone No -1-1 1
E- a i i permits@expertshutters.com
State or County License 16572
IT vaiue
of
construction is
52500 or
more, a RECORDED DED Notice of Commencement is required.
If value
of
HVAC i 7500
or more,,
a RECORDED Notice of Commencement is required,
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Y Not AppHicable
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MORTGAGE M N#Applicable
Name,-, ril; ; Name:
Address: 63&5 NW 36th 8t Suite }30Address.,
City* Virgini Gardens
ifi1�1 -_-_.-_p•1.1-51iL41�4'ii4Yitia :'e State'
* � city*
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' & PhoneZIP4
_
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FEE SIMPLE TITLE HOLDER: Not App-licable BONDING COM-PA-NY: Not icable
Name-p- 1 Name:
Address.,clky F MY ft e. %.-p �6m p p p N rqm jw -M%-� — — — — O-e Add ress. -pp-pp-pp-PRAW WOO 1.
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Phone'..
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OW N E R/ CO NTRACTOR AFF1 DVI.Tw, Ap pfiscation Its hereby made to obtain a Pe rrn'p1 t to do the work and i nsta I latio n as 1ri.
I cerbfy that no work- installation has comm � theissuance of a ter,
. Lucie � Coup41 • representation that igrantingwill authorize thepermit
which is " lr with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit
structure. Please consult with your Home Owners Association and reviiew your deed for any restrictionswhich rnay apply.,
In consideration of the granting this requested ri I do hereby agree
in accordance with the approved'plans, the Florida BuNd.ingCodes and S:t. Lucie County Amendmc�nts.
The following building permit 1i i are exec from urn l 1 review.,. ,. w
room f',
accessory structures, swimmingsigns., sicreen rooms and accessory uses to another non-residential use
"WARNINC TO OWNERA'r' YOUR
RE TO RECORD A NOTICIE OF COMMENCEMENT
TWICE FOR IMPROVEMENTS TO YOUR CROP Ems* A NOTICE OF COMM M ENT MUST BE RECO'RDE
POSTED ON THE JOB SITE BEFORE FIRST" INSPECTION. IF YOU 1NnND TO OBTAIN FINILNirnur.
WtTH YOUR LENDER Oft- "A '
r^
." f• it
RIE CORDING YOUR NOTICE OF COx MENT f
M1tr�
r � • �:
................
�.
Sign more of 0 w per/ Lessee n to c t 0 r as Agent f ir Own i -
tracts /License Holder
STATE OF FLORIDA
COUNTY OF
r
r The forgoing instrument was acknowledged before me
this _....�+.�tw day of Avil 1 by
Michael Heissenberg
N person making statement.
Personally J<wMil�L• OR Produced r tific— ,
Type of Identification
pr-oduced
•� ..:::: w�xxv
r �
y
----------
(SignatureNotary Public- stag 'Writ
r
COMM ission N.
i
REVIEWS
DATE
RECEIVED
DATE
COMPLEUD
—e V � *- - 2 -1 7TP3 - - - "'
FRONT ZONING
COUNTERREVIEW
04TAfty fwaLIC
N AL-M- -OF FWf(I
STATE OF FLORIDA
COUNTY OF�A, i ., r f`
I
1-1ha forgoinginstrument was acknowledged b0ore, m
+-, ... M¢.* ¢ ,�j y of April
Michael He isle b r
--------------
Name of person.aki statement.
Personailly Known OR Produced Identifir-ation
r F
hype of Idenfiff0tion
r
---................ ...
(S49natu re f li` State of F1 ori
GG26W''.� Commission No. GP258038
SUPERVISOR PLANS
REVIEW REVIEW
. . . . .......................... ..
7
VEGETATION
REVIEW
SEA TURTLE
REVIEW
ShaMcsn aStWO
NOTARY PUBLi
W Comm# GG580
MANGROVE
REVIEW