HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
01
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Plonning and Oevelopment services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone.. (772) 4 -1 Fax: (772) 462-1578
PERMIT TYPE: Shutter
Building Permit Application
Commercial Residential X
MEMM&ME0.
Property Tax i D: 1-0 1 -0-0-
Lit No,,
Site Plan Name: Block No.
Project Name.Alla
DETAILED
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Install electric roll shutters
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CONSTRUCTION
FORM'' . ........
ATION.S...
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Additional work to
be performed under this
permit
—check
all that apply:
_Mechanical
' Gas Tank
`Gas
Piping
X Shutters
Electric
_Plumbing
Total Sq. Ft of Construction:
Cost of on tr ti n : 1 .
Sprinklers
Generator
Windows/Doors
Roof Pitch
q. Ft. of First Floor:
Utilities: -.- Sewer Septic Building Height:
J---0W'NE-R/L-E:-S--'S'----'EE'
.... ......
FNa me Sreenivasa R Alla (LF EST)
Address: 10890 Myrtlewood I
City: Port St. Lucie State: FL
Zip Code: 34986-P
Phone No. -4 - 7 1
E- ail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
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CONTRCAT'... ... ......
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Michael Heissenberg
Company: Expert Shutter Services
.668 SW Whitmore Dr
Address.
Port St. LucieState,FL
City:
Zip Code: 34984
... -
Phone No 772-871-1915
E-Ma iI permits@expertshufters.com
State or County License 16572
it value
of
construction i
00 or
more., a RECORDED Not -ice of Commencement is required.
If value
of
HVAC i 7,500
or more,
a RECORDED RDED Notice of Commencement is required.
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D&EIG NENGINE , Noti
MORTGAGE COMPANY:, Not Applicable,
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Name: Tic. Imo • Name*
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Addre5;!i:,_63-55,1N'w 6th t SUA '
C' w Se�
• s Z* Phoney
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FEE SIMPLE TITLE. HOLDER: Not Applicable
Name-
AddreSs.
City:
Z.
I,..
90NDING COMPANY: Not Applicable
Name.,
Addre.ss:
City.:
i P Phone
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OWNER/ CApplication is hereby made to obtaina permit to do the work and installation as indicated
certify th at n o work o i{ 't nstail ati on h as comet e n ced Prior to th e '1S U a n Ce Of a p e rm'l t t
.fit6 Lucie � r r i that i i g permi i• l Daze the meit holder -to build the subject structure
whichi i coy icy. w i y• l i l om w• r Assoc i i r 1 , l w r coven ants that m y rest r[ L r- i" such
structure. Please consult with -your Home. Owners Association ami review your de.ed for any t ri m which
in consideration of the granting of tis requested permit, I do h(-,Lreby agree that i will, in all y, perform the work
in accordance with the. approved plans, the Florida Building Codes and St. Wcle County Amendments.
Th e f of lowi ng build ing permit a0p] i i on s are exempt from undergoing a fm 11 con c u rrency review: room ad ditions.
accessory structures, swimming pools., fences, walls, signs,screen rooms d accessory uses to another non-resident*al use
"'I��tRN1�IG TO �}'i�INER� YOUR FAFAILURE TO �C�i A NOTICE OF COMMENCEMENT A�' RESULT illt YOUR PAYING
TWICE FOR tMPRC3YEMENTS TO 'i'i3UR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECOROM AND
P't15TEID ON THE JAB SITE BEFORE TH FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER . [��i�'� ��'C�RE RECORDING YOUR NOTICE OF CflMMIENT
9
f
Signature of Own Lessee/Contractor as Agent f rr Owner
STATE OF FLORIDA
COUNTY OP :il- l_uei�
The
forgoinginstrument
was acknowledged
before m
this
13 day of Apra1
2021
by
Michael H issenber
Nam person makingstatement
'f'�ersonally Known..OR Producied Identification
of Identification
Produced
(Signattire. of Notary Public- to of
416
Commission No. GG258038
F
ZONING
aFVIW
I
140-rov PUBLIC
-ry orImOR
-
f t•
Signature of Conrar/License Holder
STATE OF FLORIDA
COUNTY OF��
1-he forgoingInstrumentwas acknowledged before me
t 4 odd 1 by
Michael Heissenber
Name.of person making statement
Personally OR Produced •ifi•iOn
r..�- ---
Type ofidentific'ation
Prod u
1
(SignaWrie of Notary Public- state of F10C4
� Rnm#W;Z%��i8 Commission No. GG258038W12a
SUPERVISOR
REVIEW
PLANS
REVIEW
�v
VEGETATION
REVIEW
SEA TURTLE
REVIEW
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NOTARY PUBL
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e TAB 4F FLOR
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