HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO UST BE COMPLETED FOR PPLI TI TO BE
ACCEPTED _
Date : Permit .
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COUNTY
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Planning and Development Services Bui* 1di* ng Per iot Appli'*cation
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ( - . Fax: ( 462- 1578 Com mercia I ResidentialX
PERMIT TYPE4
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- PROPOSE D 'I MPROVE M U�
Address -, 0 Eagle Dr.
1312-801 -0044-000-0
Property Tax ID
Lot No.
Site PlanName :
Brock No.
Project Name . Adkins
.• ETAD' E'CR'PT'0'N--0F :-:W0Rk-1r.• .• • . ••. . .
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Install 13 accordion shutters
' : TICONSTRNIN
O . : FGRM.- --A-T .
ddItional work to be performed under thispermit �- all
� that apply:
PipingMechanical GasTank Gas utter � Windows/Doors
= Electric Plumbing Spr'in l r-
Totaf Sq . Ft of Construction :
q . Ft . of Fiat Floor,
Cost of Construction ., $ Utilities , Sewe r Septic Building Height :
OWNER/LESSEE : : . :...
. . . . �...ti . ..._... . .
Name ,Name Howard Adkins
nber
Address: 4803 Eagle fir. Company: Expert Shutter Services
city., Fort Pierce
State-, �L Address .
S1 �I� Ntr Dr
Zip Code , Fax: Cat # Port t. L u i # FL
} -.r.�., .. to t .
Phone No. 678-557-3269
Zip Code34984
. Fax.
E- ail : Phone No 772-871 - 1915
Fill in fee simple Title Molder on next page ifdifferent E�Mail � rmit � � rt huttr .cor
from the Owner listed above)If value of HVAC is $7,500 or more, a RECORDED Notice of ate or County License 16572
If value of construcUlon is $2500 or more, a RECORDED Notice of Commencement is required.
Commencement is required.
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DESIGN ER/ENGINEER;
Appficable
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MORTGAGE
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FEE SIMPLE TITLE HOLDERS
Not- Applicable BONDING COMPANY: Not Applicable
Name , Name:
Address:
Address
City*
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Phone ,
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OWNER/ CONTRA ' OR AFFIDVIT*If Application 'is hereby made to obtain a pe
rm i to do the work and i nsta liation as in dicated
I certify that no work or instal I at i a n h as co m rn en ced prior to the issuance -of a perm I
. Lucie � untv ct makes, ' T TAI.F r r ;.7 t, i granting permit
will authorize Y permit
ild the subject
which is in confl th any applicable Home Owners Association rules haws r covenants
w
truk.i r ! Please consult with �.5r f Owners • •r kr �i.h � ��ct _� � � � irR } ;
Associate rev' w your deed for restrictions 'i ip l
In consideration of the granting of this requested piermit, I do hereby a' ree that I wifl, ih all
}
ects, perform the work
i ors with t r plans, the Florida Build i Codes
The follow1hg buildingpermit applications are exec undergoingadditions.,
igns, screen rooms and accessory uses to another non-residential use
*'WARNtNC TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENC IENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROV ENTS TO YOUR PROPE Y. A NOTICE CW COMMENCEMENT MUST ' SE RECORDED AND
POSTED ON THE JiDS SITE ,T14' FIRST INSPECTION. I -YOB
WffH YOUR LEER. - ()ME EFORE RECORDING YOUR NOTICE OF COM
ME141f/
• r r
Signature of Owner/ Lessee/Contractor t r• w -
S` r Contractors l r
'" 7-
/...... .
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF CO U NTY 0
rThe forgoing ' s tThe + i
orgoing instrument was acknowledged before me
this 14 day of May 20 2 1 f
-byt ' day of M .._,. 201.__.... .y................
+-rF+r•4,fRk
by
Michael Heissenberg
Mic;hael He"
issenberg
Name o person making n � �
Name. person making totoma �r�
entf
Personally own OR Produ'Ced Identification Personally l Known Produced I • ification
Type o Identification
Produced -.�ww.. .......�.+,.�,
100 of Identification
Produced .
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(Signature
(Signature of
NOT Shanon aShe
GG258038 � �
. } NOTARY PUBLI
ir
GG25W36 COMm$ssion No. GG258038
............ +r es V202 Cornm# GG2580 8
iw
REVIEWS
FR " ZONING SUPERVIIOR PIA S VEGETATION SEA TURTLE MANGROVE
....... CO U N TE R REVIEW RCvltw REVIEWREVIEW_DA T'EREVIEW REVIEW
RECEIVED
DATE
/ 19
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