HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BF COMPLETED FOR APPLlCAT#ON TO BE ACCEPTED
11
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,, Fort Pierce FL 34982
Phone: (772) 4 -1 Fax: (772) 462-1578
PERMIT TYPE: Shutter
Permit Number,
Building Perm"it Appl'icat*ion
Commercial Residential X
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Address: 139 NE Naranja Ave
Property Tax ID #: 3419-530-0197-000-0
Site Plan Name:
Project Name: Adams
DETAILED DESCRIPTION O'F .........
WQRK:......
Install 2 accordion shutters
Lot No.
Block No.
CONST'R UCTION-1 N FORM ATION...........
Additional work to be
per -formed under this
permit
— check all that
apply:
Mechanical
_Gas Tank
� Gas
Piping
X Shutters Windows/Doors
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: .0
Sprinklers
Generator
q . Ft. of First Floor:
Roof
Utilities: Sewer Septic Building Height:
Pitch
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Name Robert C Adams
Address: 139 NE Naranja Ave
City. Port St Lucie State: FL
i p Code . Fax:
Phone No. 609-827-6166
E-Mail:
Fill in
fee
simple
Title
Holder on next page (if different
from
the
Owner
listed
above)
Name: Michael Heissenberg
Company: Expert shutter Saris
Add
r : .668 SW Whitmore Dr
City: Port St. Lucie Stag: FL
Zip Code: 34984Fax;
Phone No 7-871 -1 '1
E- a i I permits@expertshufters.com
State or County License 16572
If value
of
construction i
00 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.
4
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NotApplica'ble.Y
MORTGAGE + Not Applicable
N a M e Tilharco. inc.
Addr'essKW th 1 Suite 305
7.�
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Virginila Gorden State., R,
Zip: Y Phony
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FEE SIMPLE TITLE HOLDER,,,. � Not Applicable
Name:
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_.__
AddreSS',
city*
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Nam a
Address.
C i t y State:
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BONDING COMPANY:
_Not Applicable
Name:
Address:
IM,
C*1 ra P ........
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7 rr—'rY'Y'Y rYIYr'YiYl�itiiiYi iY i'i
OWNER/ CONTRA OR AFFApplication is hereby made' to obtain a permit to do the work and installation as indicated,
i certify that no work or installation has commenced prior to the issuance of a pe.rrnit.
St
4. . Lucie,Catinty.,makes no representation that is granting a Permit will authoriu the permit holder to build the subject structure
Which is in conflict .with any i i l � Owners Association. rules, bylaws r and covenants that may restrict r � � such
structure. Please consul t with your Home Owners k ciao and rev'ie your deed for anyrestrictions w �C mayapply',
In ca n si de rati o n Of the gra n-t'; ng of this requested permit, I hereby agree that I w01, '� n a I I respects, p e, rfo rm the W'o r
in accordance with p roved plans, the Flor-lda BuiCodes and St.. Lucie ty Amendment5.
The following build'Ing permi't applications are exempt from undergoi'ngfull (=iwrrency r i w� room additions;
accessory structures., swimming pools, fences, walls, -signs, screen rooms and accessory uses to another-non-res'Idential use
"WARNINC TO OWN W, YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULTPAYING
TWICE FOR EMNTS TO YOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE
'�RRST INSPECTION.. IF YOU IWMND TO 0 AINLNG, CONSULT
OUR LENDER _____A=.0RNEY
i.r.,.•,ne..,,r r �, M44.44Mi.iVY.y+::: :::.-+-:
EURE RECORi31NG.'YOUR NOTICE OF COMJO "KMENT�'
Signature of Owner/ Lessee/Contractor asAge ht fir Owner
STATE OF FLORIDA
COUNTY OF `W i
The foroing instrument was acknowledged -fore me
this t day of ril .
Michael H i r
..... .... .. - ---------
Name of person makl'ng statement.
Personally Knows Produced Identification
Type of Iiiirl
Produced
(Signature O' Notary Public- State off .*up]
Commission Na. GG258038
REVIEWS
SUPPIEME(Vi�AL
CC3NS�RUCTIEJCV
LIEN
t.�tW
It�F(lR(�kATiON�
DESIGNERIENGINEER.
FRONT
COUNTER
DST....,..._....._.�......�..µ.
-RECEIVE ' D �
DATA
COMPUTED
� l
d��• tJC l��l y�c�� +.
INN
Signature of Con tractor&icense Holdt,.r
STATE OF FLORIDA
COUNTY OF ,�i
The fq T oing Instrument was acknowledged before
this v... u day April , 20 21 by
Michae! Heissenberg
Name.& person making statement,
Personally Known OR Produced:r.�__..-.._........_
Type of lfi'iii.
Produced