HomeMy WebLinkAboutBuilding Permit Application IFAII APPLICABLE INFO MUST BE COMPLIETED FOR
APPLICATION TO BE ACCEPTED
Permit Number:
COUNTY
rmi
Planning and Development Services Bui' ld *ing Pe at Appleication
Building and Code Regulation Division
Virg in ic A venue, Fort Pierce FL
Phone : (772 ) 462- 1553 Fax : (772 ) 462- 1578 Commercial Residentl* X
PERMIT TYPE :
Shutter
PROPOSED
* .
Address . 163 NETTLES BL D
Property Tax I D ; 4502--501 -0349-000-9 Lot
No .
Site Plan Name .-
III o .
Project Name . I r
[ DETAILED. DESCR- IPTION OF'-WO' RK ,, '
xr
Install 1 roll shutterCONSTRUCTION: . NFORMATI ''ON' OF'
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Additional work to be performed under this er
it — check all that apply:
�Mechanical � has Tan a F
Piplin X Shutters Windows/Doors
Electric Plumbing •
Sprinklers Generator Rood •
P �th
Total Sq . Ft Of Construction : q . fit. of First Floor:
CO-St of Construction : $ 3, 745.00
Utilities : � Sewer Septic Building Height :
OWNER/LESSEE ,,.'''::.: :.:. - : .. .
}.:
CONTRACTO
K
Patrick L l r : ... .: .::.Name
"
I : Michael I� ir�br
dire s : 4 d la Pointe-Jameson
� �� r� i Expert Shutter Services
City: Venise-en-Quebec CState : QC Address : 668 SW Vfttfflore Dr
Zip Code : JOJ 2KO Fax: city ... Port St. Lucie
Phone . 1 - 1 - .
Zip Code : 34984
E- Mail : Phone No 772-871 -1915 Fa
x .
R-11 in fee simple Title Holder on next
page if different E- M i l permits@expertshutters .com
from the Owner listed above
State r County License
16572
If value of i 00 or more � Commencement •
RECORDED Notice f -i require
If value of HVAC *is
$7500 or more, a RECORDED Note i
, � -__ LL*� '-•��r:v ten•
SUPPLEMENTALCONSTR
UCTION LIENIAW - INFORMIATION..''
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DESIGN ER/E NG INEER : Not Applicable
GE
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N jj F�. IncCOMPANY# Not Applicable
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Address -, 6, 355 NW- .361h A Suite 0 a_.�n..__.... .. Yvw +:':-ti++-u.u++++•��i�vx awn :+y+-+--y��yt 44� �.._.. :.:.__..
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'MF]IFFIfY i1Yi�0�a W�F�Ma v - MF/ Yii Y 4liaiitiii ^�� au_... v
HOLDER .
5FFEE SIMPLE TITLE 4 Not
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Address, Address:
C'I t y
1 City1
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OWNER/
CONTRACTOR AFFIDVfT :' :'+,FYfrla+.*i+-b�ew4�:.aa.aavtW a�atia.v•v}-n-•au�a��a��a....taw._.._.. fir._......... ..
Application is hereby made, to obtain a +t to do -the work and installation as indicated .
permt
1 cerdify that no wordk or Mstailation h8s Commenced prior, to thC) iSSLJance of a permit.
St. Lucie County makes no representation that is granting -apermit wt
11 authorize the permit holder to build the subject structure
env i i Home Owners Association r to bylaws Y
structure., Pleaser r* IN
i i and review our deed for any restrictions which may apply,
.I consideration f 6r granting i 1' i# 4rd permit; i o hereby At I , +
n all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments,
accessory , swirn walls, s'
Igns, screen rnon-residential
ry � pother use
"WARNINC To OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENTMAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROpES . A NOTICE OF COMM04CEMENT
POSTED ON THE JOB SITE BEFORE TH . FIRST INSPECTION., IF YOU i NO TO OBTAIN ►
xYW L CONSULT
N WC YOUR NOTICE OF COM
N A�
�• ram.
f r v E"T
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f . ` *•-wry
f
Signature of Owner/ Lessee/CO n tractor as Agen-t f r Owner Signature of Contractor/License Holder
r STATE OF FLORIDA
i � ` `A i
COUNTY # t i
COUNTY OF,
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The forgoing lnstru �y)ent was acknowledged before ftle The forgoingInstrument was acknowledged before ire
t day of � 1 t
a
-..-..- .�..-..., -� u.._.Y.A
ths 25 day of Kay
2021 by
Michael Hefnbr
Michael Heissenberg
Name of person making statement, �
Nave of person making statement,
t,
Personally Produced I
�r r
Producedi • .
on
Produced TypeInifl
cation LL
Produce1ri
r
' r
(Signature b1 - � f �
PUSL1C (Signature of NotaryPublics State of Floc
COmrnissjon No. GG258038
GG258038 NOTARY PUBLI
Comm# 91121202 TATE OF FLOR 0
�
COMM# GG 5
F— I W
FRONTZONING
SUPERVISOR LA V GSTATION ar
COUP F REVS MANGROVE
REVIEW REVIEW REVIEW
• REW W REVIEW
M•-�-,,.:. ,ram-,.:�.. .. a ..��.. a ,,.x�, ,Hb,.�•+,•*•,.,r,
RECEIVED
I DATE
w
COMPLETED
d"M.4 .