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HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION T17 BE ACCEPTED Date: - ---- -- - - - - -- --- - - Planning and Development Services Budding and Code Reguiatron Division 2340 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax; (772) 452-1578 PERMIT TYPE: Shutter Permit Number: Building Permit Application Commercial Residential x - - - ------- ---r � --- PROPOSEDIMPROV'E'ME'NT-:LOCATI''O:N':...:.:::.:,.,.,.,:::......711 Address: ET'TLES BLVD 0 4502-501-0248-000-1 Property Tax ID #6 Lot No. Site PlanName: Block No. Project Name: Nelson ............ DETA-ILEI)'-DE'SCR-I,PT,.IO.N:'.O..F::WO:R'' :.: ::.:: • .'�Y��1�I,ri�:+Lrtv::• . '._— • • .._;.�rS . , . . , xaxaxo. ' . +c.a �jca 2{ fcx+c• i .... —._ _. _.—... n r:4:.4fi.:. ---...... . .. .. Install 3 accordion shutters ,. IP .. 0 00NSTRUCTf N INFORMATIO.-N... s: . ...... ... ... Additional work to be performed under this permit — check all that apply: _Mechanical i Gas Tank _Gas Piping X Shut-ters Windows/Doors Electric _Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 964•00 Sprinklers Generator Roof q. Ft. of First Floor: — t*i Kati es SewerSeptic Building Height. .-OWNER/tESSEE: . . . ....... .... . .. Name Ronald Nelson (LF EST) Address: 62 NETTLES BLVD City. Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 305-562-9519 E-Mail: Fill in fee simple Title Holder on next page if different from the Owner listed above) Pitch -CON R 'CTOR'' ........ ...... . Name. Michael Heissenberg Company: E Pert Shutter Services Address: 668 SW Whitmore r Dr City: Port St. Lucie State: FL Zip Code: 34984 Fax: Phone N 7-871-191 E-M a ii permits@expertshutters.com State or County License 16572 it value of construction is 52500 or more., a RECORDED RDED Notice of Commencement is required. If value of HVAC is $7,,500 or more., a RECORDED DED notice of Commencement is required. . ............. "T ON-t-1. EN . . . . ... ... . .. :RUt" W,JN M-1--, F R.. -- T 10 N SUPPLEMtNTALCON�1-n Lit, Yf: rr}r .}7^.s •-.. .... .. A^" -. s} - r' •.T���RµT,��r. w. • tif••v M1 :ry s. ... s• }J :{•}r DESIGNER ENGINEER, Not ApplicableMOR'lu"AGE r .r_x •_v h •' � '' shs .ti .. .�..:�L.Tr� � � f. .f¢r{fh's• iG�:54ja�fi7}.{d .�. Not Applicable i N am e ljjk�cuf im. Name. .. .. .._. .—_.-_. _. ..._ r—t—t7Yi5 t•iY•1iYiSt rt•ra•.Yr::=w:r=sa�u tiwfe fa:h {f+}: Add r , 63r>5 Nw 36tt), suite .3u yyy IrYirl�.______ City: irga aro s �._Y=l+Y+=*YiY i511A iiliS,iiY151i5Yi State R. Zip-'. ,� Phone !I 1lI IY I!Illi i� "� Yt "tY "I "t5i "IY 51tlYIl1 "-" "�Y FEE SIMPLE TITLE HOLDER. Not Applicable Name; . .. ..-. .._ l+era=rl•!•!•ww•1.1•!a-o-la-la-rera�.r.-�. ...... -------------- Cl ty. v-R+-�a-•+4-fwr,r�+•rw� w-+a �c+�wx�c�•-tt-s-}Y-,= - - - •.+-� Z Phone., Address: cit. •ti•I•I+I•ICI•Y�vI�I•I�I�I•vY�an�Y�l�r�4k5�•.d1r•='- .... '---'--"--'--=r ... * ... State, zip }Phione. }'=I I++I I 1+I I I I! � I! Y I. Y 17W�Y��.++I++i�7.1v5.544�•di��i---..! _. _ _. _ _. BONDING COMPANY, Not Ap-plicable Narn e: Address: 'M'rr +! I! 71 7! 7!I !I lI .I IIIIII �iYI�Y.iii' "" "" """"-•-+---' C4ty$ LIP: Phone, .. ....... ... AFF1OI NE R/ C�'3!'1tfi RACT'C��tDVIT-',' Appt'cation i5 to mad �obtair�^a permit to pia te work a nd ir�staiat�an as indicated. 1 certlfy that r3c� work installation comm�r��� �ri�r to �h� i f�ssuance of a Oerrnit. S_ Lucie County { makes no representation that is grant'Ing a pe.rmit'll authorize the permit holder to buildstructure 41 wh i ch. is in conf 1r ct with any a-pplicabi-Ho m e. Owners Assoc to tion• r ul .- bylaws or a nd coven ants that.may restrict o r p roh i b it structure. Please consult with your Home Owners Assoc''i ' � which may apply} In considera-fion of the grant4ng of this t r i # I do hereby agree that I will, in all respects, perform the • work in accordance with the approved Duns, the Florida Building Codes and St. Luc'le Countyr dment . The following b ui Id ng permit a pp 11 catt on s are exe. mpt from undergoing a tu 11 con cu rrency review: room ad. ditions.J. accessory r t r., wi �i ng pools, f e races, wa I I s, signs, screen roomsa n d accessory u ses to a pother non -'li use "WARNING TO OWNER; YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT SAY RESULT IN YOUR PAYlNC TWICE FOR iMPRflYEMESr TO YOUR PROPE '1t`. 1!1 NOTICE Of COMMENCEMENT MUST BE RECORi3ED AND POSTED ON THE JOB SITE $EFQTN . FIRSTNSPL�'�N. If' YOU INTEND TO t�i�TAtllt F�N�1►NClNG, CONSULT _. 1�'TH YOUR LENDER .��I ,�'ARNEYEFt��i� RECt7��1l1G �t��.#R N�Tii� OF CQMiiiiEN' Signature of Qw er] Lessee/Contractor as Aiget #4r Owner STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this 16 drlypnil 2021by Michael HeE sera e N person Maki rag -Statements Personally Known Produced I 1 ion Type of Identification Produced I �, f (SiLgnature of Nowry Publ'fc- State Commission No. GG258038 REVIEWS KV]. 5 J, lire. of Contractor/License Holder STATE OF FLORIDA COUNTY OF The forgoing instrument was, acknowledged beforie m t h I's 16 day of Apnfl y20 21 by .._.._.._.. w++-•+Yr aaa..yiyY.S.fy Michael Helssenberg Name of person makingstatement. Personally Known OR Produced Iderf0fication Type of .1iii Produced (S49nature �� �Vatary Pta�Zl"c- Sxa#� of F1a(i M FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE CflLlNiR REVIEW REVIEW REVIEW REVIEW REVIEW Wim • �`kw �}� • �:. 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