HomeMy WebLinkAboutBuilding Permit Application All APPI.ICABI.E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit Number:
: COUNTY
. .. Building Permit Application
Planning and development Services
Budding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : (772 ) 462 -1553 Fax : (772 ) 462- 1578 Commercial Residential x
PERMIT TYPE : ShutterE-NT
. : : :: :: ..: . . . .
. '.'PR0P0SED - 1MPR' 0VEM LOCATI 0 N IP
Address : 5621 Spanish Riper Rd
Property Tax ID # : 1312-503-0028-000-7
Lot N o.
Site Plan Name : Block No .
Project Name : Somers
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DETAILED - DESCRIPTION OF WORK .,.: ' ..
Install 2 accordion shutters
. CONSTRUCTION INFORMATIGN
Additional work to be performed under this permit -- check all that apply :
Mechanical � Gas Tank � Gas Piping X Shutters Windows/Doors
Electric � Plumbing _ Sprinklers � Generator Roof _ Pitch
Total Sq . Ft of Construction : Sq . F#, of First Floor.
Cost of Construction : $ 11574 . 00. Utilities: � Sewer _ Septic Building Height: _
OWNER/LESSEE : CONTRACTOR :: . . . .. . . .. 77.
Name Stephen & Aira Somers Name: Michael Heissenberg �
Address : 5621 Spanish River Rd Company : Expert Shutter Services
City: Fort Pierce
State : FL Address : 66$ SW Whitmore Dr
Zip Code : 34951 Fax : Cit Port St. Lucie.
State : FL
Phone Na. 937-269-3390 Zip Cade: 349$4 Fax:
E- Mail : Pone No 772-871 - 1915
Fill in fee simple Title Holder on next page if different E-Mail Permits@expertshutters.com
from the Owner listed above) State or County License 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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OWNER/ CONTRACTOR AFFIDVIT:*, Application
is hereby made to obtain a permit to do the work and installation as I certify that no work or installation has tindicated ,
comrnctnced prior to tf)e issuance of a permit.
St. Lucie County makes no
i rbuild �i i i coy itsentation that is ers ssociation
rules, bylaws or and covenants thiat may restrict or prohlbit such
structure, Please consult with your Home owners Association and review your deed for any restrictions which may apply,
In rI I er t1 the granting of t i
is requested permit, I do hereby
agree that I will, In l rest , perform the work
in accordance with the approved plans, the Florida fl lLucie
The following building rmi t applications are exempt from undergoing a full7 t i
: review., - addi ion ,
accessor . t r• , 5wir.nmiog poois, fences, wal'is, signs.. screen roonis and access k r ial use
%dWARN1JYC TO OWNER: Y01JR FAILURE TO
RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWiCE FOR IMPROVEMENTS TO YOUR PROPERTY,, A NOTICE OF COMMENCEMENT MUST
POSTED ON THE JOB SITE BEFORE THEf FIRST INSPECTION IF YOU INTEND TO OBTAIN FINANCING CONSULT
WITH YOUR LENDERORNEY
RECORDINGCOMfiWK-
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Signature
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r Owner Signature of Cotr r
actor/License HolderCOUNTY OF t
STATE OF FLORIDA
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STATE OF FLORIDA
COUNTY 0F .
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The forgiolng itrU meat was acknowledged before F
The forgot ' n tr was acknowledged b r r (j
: � Yu.. day of
. ,.. . 2021
this of May
------- 2021 by
Michael H i en berg
dlwipwmwffiw� Michael Heissenberg
Wrne of person making staternent.
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Na m e of rson ma ki' te m en er
Personally Known xOR Produced
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nown
Type of Identification OR Produced Iden-tification
Produced Type of Identification
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Produced
-------------
(Signature of Notary Public- State 0NOTPRy� �
u C (Signaturie of Notary P u b l ll " State of F
COmm ' ri . GLO�0 Shanon O'Shea
G258038 TAT NOTARY IO
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REVIEWS FROND ZONING
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VISOR LAMS V G STATION
COUNTER EA J'U RTLE MANGROVE
DATEv x ::r._....x ....:. REVIEW REVIEW
RECEIVED �.
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DATE
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