HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FAR APPLICATION TO BE ACCEPTED
Date'.
Planning and Development .services
Buitding and Code R gu}ati n DIVision
2300 Virginia Avenue,, Fort Pierce FL 34982
Phone, (772) 462-1 Fax. (772)462-1578
PERMIT TYPE: Shutter
PermitNumber:
Building Permit Application
Commercial Residential X
Site Plan Name. Block o.
Project e: LoMascol
DET-.A.ILLD'DESC.R:I'P'T'I,ON.'O'F:WO'R.K'
Install 11 accordion shutters
CONSTRUCTIONINFORMATION':
Additional work to
be performed under this
permit
— check
all that apply:
Mechanical
� Gas Tank
_Gas
Piping
iC Shutters Windows/Doors
Electric _Plumbing ...... Sprinklers
Total Sq. Ft of Construction:
_Generator Roof
q. Ft. of First Floor-,
Cost of Constructiom $ , Utilities: Sewer ---Septic Building Height:
Pitch
- T . _.._... -..... -
'CONTRACT
OWNER/LE'SSEE:%-,'','':"
.. : y .
N a me Donald W Lo 1a o1 TIC Name: Michael Heissenberg
Address: Prospect ST
Company: Expert Shutter Services
City; East Longmeadow, .668 SW Whitmore Dr
State: MA Address,
Zip Code: 01028 F '� •State*it Port St. Lucie FL
Phone No. 413-531-1651 Zip Code: 34984 Fax..
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the owner listed above]
Phone No 772-871-1:915
F- 1 a i l permits@expertshuffers.com
State or County License 16572
If value
of
construction i
0 or
more, a RECORDED Notice of Commencement is required.
If value
of
HVAC i 7,5 0
or more,
a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTIO'
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DESIGNER/ENGI Not Applicable
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MORTGAGE COMPANY:
Not Applicable..
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FEE SIMPLE TITLE HOLDER: Not'Applicable
Name{
Address:
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Phone.,
BONDING COMPANY. Not.Applicable
Name-h
.
Address...
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OWNER/ CONTRA OR AFFIDVIT;F
cat- r hereby a Permit rmi - the work indicated,
I certify that no w f• r % l l lrhas-commencedpr'O'L'toeissuance of a p�t-ryj1t4
St. +. ,granting emit it authorize the permit h i t. to build the subject. structure
Wh I ch ' i coy Irct i li - Home Own Assort ion rulesbyl or . i��} coven
yrn{7' ts i��+yJ] y1,i5fr�{�; •j.+.yx 5 {♦ jr,i�}{{� 'a
structure., Please, �.i ' ■ + •i t � • r , T � �'+ may F � M � i ` � }Y l � bit
Tuft with your m n Association and review our deed for �' r# tii S
In consideration f the granting this requested permit, I do hereby'' ree that I will,in all ,,ya�yF 7���j{7, the ]}k
i t nice with r plans, Florida Codes •. i County respects, 7
aFhe follow'Ing buildingpermit applications are exempt from undergoing a full cancurrency r t: room additions,
aCCeSSOT'y StrUCtUres, swimming pools., fences., walls, signs, screen rooms and accessory uses to another on-resi
"WARNINC; TO OWNIER: YOUR FAILURE TO RECORD �t NOTICE OF COM1N�CfiM�" MAY RESULT IN YOUR �"�lYI!!iC
TWICE FOR IMP'�i�il►�ENTS TO YOUR PROP A NOTICE OFCflMMENCEMEN` MUST BE RECORDED AND
POSTED ON THE J0S SITE BEFORE TH FIRST INSPECTION. 1F '1''t)U INTEND TO OBTAIN FINANCl!liG, CONSULT
1VlTH YQ�R A,IrNf�ER WHIM E'Y
-Signature of Owner/ Lessee/Contractor as Agen't f
STATE Of FLORIDA
COUNTY OF__
IttUIRE CORDING YOUR NOTICE
The forginl'ng 1
instrumentwas acknowledged before m
this w 3 day of
-Mlav_ 2o'21 y
Michael Heissenberg
Name of piersonmaking statement.
Personally Pro<Juced Identification
Type of Identification �.
Produced
ftf�{�11Y'2.i�"f'•Yr'J7.. {._r._.._. ._. ...4 44 �� � •--•-"—Y-"tea
�Si nt"It re of Notary Public- Stag of INsa
CommissionNo.,GG25so3s
FRONT
COUNTER
DATE
CI
r.ED
a
DATE
COMPLETF,D
r i � r
V
.6
ZONING
REVIEW'
1111" a 34- - — — PUMIC
t4OTARY
ATF. OF
GG25W38
res{ 9jj 12Z
Signature f Con rtr/Lice l r
STATE OF FLORIDA
CO U IYTY OF C-� . i .i i o '0
The forgoing i•r ment was acknowledged fore ire
r.a:..
this of Im.ay 2o2l by
r.x�._.
Michael Heissenberg
Name of person miaking stlaternenta
Personally Knows �,.OR ProducedIdentification
Type 'f Identification
Produced
u u �
(Signature of Notary Public- State of Flor Shawn CYShes
NOTARY PUBLIC
No. GG258038 e 1i TATOF FLOP
SUPERVISOR � PLANS
REVIEW REVIEW
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VEGETATION
REVIEW
SE I
REVIEW
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MANGROVE
REVIEW