HomeMy WebLinkAboutBuilding Permit ApplicationAEI APPLICABLE INFO MIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building pnd Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Kermit Number:
Building Permit Application
Commercial
Residential x
PERMIT TYPE: Shutter
PROPOSED IM:PROVEMENT LOCATION:
Address: 9439 S n Dr Apt 513
Property Tax ID #: 3535-334-0003-180-4 Lot No.
Site Plan Name: Block No.
Project Nance: Veitz
..........
DETAILED DESCRI ION
.... . ............... ..... ... ........ .... ..
. ...................
Install 1 accordion shutterrrr
.... . .....
CONSTRUCTION3NFORMATIDN''' ........ . .. .. ... ... ... . . . . . . . . . . . . . . .......
Additional work to
be performed under this
permit—
check all that
apply:
_Mechanical
_Gas Tank
_Gas
Piping
X Shutters Windows/Doors
Electric
_Plumbing
Total Sq. Et of Construction:
Cost of Construction: 631.00
j OWNER/LESSEE:
Name Anthony M Veitz (TR)
Sprinklers
Generator Roof
q. Ft, of First Floor:
Utilities: Sewer ' Septic Building Hight:
............ .
cQrvrRacTOR:
........ ...
Address: 19439 S Oean Dr Apt 513
city: Jensen Beach State: FL
Zip Code: 34957
Fax,,
Phone N-0. - -1 1
E-Mail,,
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Pitch
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: 668 5V11 Whitmore Dr
City: Port St. Lucie tt: FL
i Code: Ea:
Phone No 77 - 1-1 1
E-M i t perm its@ p rts h utters. com
State or County License 1
6572
If value
of
construction is
500 or
more,, e, a RECORDED Notice of Commencement is required.,
If value
of
HVAC is $7.,500
or more,
a RECORDED Notice -of Commencement is required,.
0
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DESIGN ER/E NG I NEER: Not Applicab"le
MORT"J'AGE COMPANY-: Not Applicable
N a m e
Narnelv
7
Address. 5 W t Solt 3
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FEE SIMPLE TITLE HOLDER. Not i ale
Name --
Address:
City: AWA
zi P 3 Phone#
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BONDING COMPANY: Not Applicable
Namet
Address
city...........
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OWNER/ CONTRACTOR AFFIDVIT* Application is hereby made. to obtain a permft1 the work and installation as indicated!
I certify that t)u work or installation has commenced prior to the 'tdnce of a Prry lr.
.fit. Lucie Coup . makes no rep rese nta flon that is gra ntlngPermit wiII authorize -the permit holder to build the subject st ru ctu r
w i0i Is in conflict.with any applicable -Home Owners Assocwtion rules bylaws or and covenants that may restrict or prollibit such
structure. Please consult wl th your Home OwnersAssociatin end review you r deed for a n y restrict'la ns wh Jch may apply.
n c o '1 d e ration 'of the gra nti ng of th i s requ ested pe. r*r I ., I do h erebyagree i wi { ,1 n a I I r expects, per form the work
5
in accordance wfth the approved plans, Florida Buytidmg Codes and S:t. Luce County Amendments.
The foltow'in'gil i permit applications are exempt from undergo] l concu'rre'ncy rev E r; room additions..
accessory structures, swimming pools., fence , walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO C)"NER: Yt?l,#R FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR P1PEWTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE J018 SffE BEFORE T�! f1�t'ST' 1NSPECTtO�1. IF Yt�t� 1N'�E�i1� T[] t�BT'Af11� FINANCING, Gt�N5ULi
WITH YOUR LENDER. �°`i '�'C1R�E���FQ�tE RE+�URDf�1C YOUR �11CiTICE �]� CO�WAMEI'►�iT.�"
f r•
igna r of Lessee/Contractor` Agent f4r Owner
STATE OF FLORIDA
COUNTY OF
The
forgaing
instrume.nt
was acknowledged
before m
this
il
20.21
by
----------------
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r
a •¢ fl
e
yl5•lr..,+ E
Signature of Contractor/License Holder
Michael Heissenbe,2,
WWWWWWW
Name of person making statement.
Rersonally KnownZ., OR Produced. l i i• t'
7�+I+i L+.A ::. v •_a-r_a-h,-.ti w a-+ar
Type of Identification
Produced
(Signature of Notary Public- State cf l�
Comrnissi'on No. GG258038
REVIEWS
DATE
RECEIVED
RECEIVED
DATE
OMPLETED
f1711T
FRONT
COUNTER
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13-- - day Yril
.20 21
bV
Michael Heigsnbe
me of person i-i king statement
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Personally Known Y,YWW.:.. OR Produced Iden't'ificat'ion
Type f I dentification
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