HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 fax: (772) 462-1578
PERMIT TYPE: S h utter
Permit Number:
Building Permit Application
Commercial Residential X
.. IMPROVEMENT -
LOCATION.
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Address; 6504 Doris Dr
Property Tax I D #: 1301-610-0091-000-4 Lot Na,
Site Plan Name:
Project Name: : Montgomery
DETAILED DESCRIPTION OF -WORK' 4. .... .... .
...................... .
.... ....... .. .
Install 13 accordion shutters
Block No.
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-CONSTRUCTION INFORMATIOM::. :.'....................
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. Ft of Construction:
Cost of Construction: $ 6,342.00
OWNER/tES
$F-Fit
_ Sprinklers
Generator
5q. Ft. of First Floor:
Roof
Utilities: � Sewer Septic Building Height:
Pitch
%
• •
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RA
CONT OR'.
-.._.__... . . . .. ... .. . .. . :. _ - ------
Name Carroll J Montgomery
Address: 6504 Doris Dr
City: Fort Fierce State: FL
Zip Code: 34951 Fa;
Phone No,, 772-466-3221
E-Mail:
Fi11 in fee simple Title Holder on next page ( if different
from the Owner listed above)
Company: Expert Shutter Services
.668 SW Whitmore Dr
Address.
City: Fort St. Lucie State. FL
Zip Code: 34984 Fax:
Phone No 772-871-1915
&M a iil permits@expertshutters.com
State or County License 16572
If value
of
construction is
500 or
more., a RECORDED Notice f Commencement is required.
if value
of
HVAC i 7,500
or more,
a RECORDED Not`k of Commencement is required.
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ESIGNER/ENGI NEER: Not lira I e MO RT G AGE COMPANY: Not Applicable
F
Name. i�# ;Inc Na
Address* 4-55 NW 36th St SuAft 305 Address:
City* 0irginin Gardcn!�
------- stat,-Citya- S t a to
zip: 166Phone.
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: .Not Applicable
Name; N a m e
Address,: Address:
City:_ .,..�.... ...P..,�...,._...,_.,.�_�,��. pity:
Zip: I P ........ ..... Phone.,
OWNER/ CONTRACTOR AFF1 DVIT.' Appi ication is herey made to.obtaln a permit to do tie work a nd insta 11abon as indicated.
i certify tht no work or installation has-commen'ced prior to the 'issuance.of a permit.
t. Lucie Coo representation • i grantingit i the permitof r to buildobject structure
wh 1ch is in coy � t with any a pp 1a ca bl Home Owners As5oci ation rules, bylaws or and cov enants that,mayrestrict prohibit such
structure. Please f.wi your Home Owners Association and review your deed for restrictions i may apply.
In consideration of the grantingi requested permit, I do herebyagree that'] will, I n ali respects, perform the. 'Work
in accordancewith the approved olans, the Florida Building Codes and St Lucie County Ame'hdments.
The follow'Ing bui lding permit applications are
exempt from undergoing a
fo 11
con'currency review: room
additions,
acres structures., swimming -pools, fences,
walls, signs,. screen roomy
and
accessory uses to anotber
non-residenti.01 use
"'WARNING TO OWNEWYOUR FAILURE TO IMCORD A NOTICE OF COMMENCEMENT MAY RIESULTYOUR PAYINC
TWICE FOR IMPROVEMENTS TO YOURPROS NOTICE M MENT MUST BE RECORDED AND
POSTED THE J*B SITE BEFORE T FIRST INSPECTION.. YOU INTEND TO 0 AINFINANCING, CONSIJLT
WITH YOUR LENDER N R RECORDING YOU NOTICE M MEN —
MIA �r••MaYhwtr--:+.K+.MY r++—ti�:+iTrtYiY+rYAYM44++ rFrr • rrr—Tti-ram. r.,..1—. —. �..��-ya.
Z �.
---- - -------------
ire of Owner/ rr as Agent 4
STATE OF FLORIDA
COUNTY OF
Owner
The forgol"ng instrument was acknowledged before me
this df April2l by
Michael Heissenberg
Name of person making statement..
Personally Known Produced Identification
type- of Idea i fi motion
Produced
----------
(Signature of Notary Public- State of,g'Ai1da
Comm"Ission No. GG258038
FRONT
COUNTER
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4
ZONING
REVIEW
NOTAFty
-re 0V Ft-09100.
ilrx . -
SUPERVISOR
REVIEW
Sighaiur•e, of Contractor/Licen'se Holder ..
STATE OF FLORIDA
COUNTY OF 4 , (
The forgoing instrument was acknowledged before me
t-his 29
day of.April
2o 21 by
Michaef Heissenberg
i
1
Name s person making statement.
Personally Known ,�....+.Y�..,ww�. OR Produced Identificationr
Type of lntffi*i
r O'd u
i r
f
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(51'gnature oNotary j - State of l r' ShanOn
k NOTARY PUBLI
COM
� € GG258038
e OF R
rn M,M# 58048
PLANS VEGETATION
REVIEW REVIEW
SEA TURTE� MANGROVE
--,-REVIEW.----- REVIEW
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