HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Vir i is Avenue,, Fort Pierce FL 34982
Phone: (772) 4 -1 Fax: (772) 462-1578
PERMIT TYPE: Shutter
Permit Number:
Building Permit Application
Commercial Residential X
PROPS
Vr•
r y
f ih :r As- •
Address: 8220 Mulligan CIR 2911
Property Tax IQ #: 3327-542-0089-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Dougherty
CONSTRUCTIONINFORM 0-NIF ��*�{�•it•ixyo.t•yt•f{:ir}.� ��¢��¢}t}�¢}�: .. • .: •...:.. ......::: •. • •.• :•} ..... •..::: •.•...•...• . • ..•... •. •.•.:...•.• .•.:.•.•.:: •.:. y
Additional work to be
performed under this
permit
—check alb
that apply:
_Mechanical
_Gas Tank
� Gas
Piping
X Shutters Windows/Doors
Electric Plumbing rin l r Generator Roof Pitch
Total Sq, Ft of Construction, Sq. Ft, of First Floor:
Cost ofConstruction: $ 4,674.00 Utilities:Sewer�Septic Building Height:
OWE ER/LESS E
- .y.y.CONTRACTOR}r¢
..r
Na m e Kevin Dougherty
Address: 8220 Mulligan CIR 2911Company: Expert Shutter Services
City: Port St Lucie
State: Ft_ Address: 668 SVV Whitmore Dr
Fay. Y. Pert fit. �i
iCode
s i fit FL
Phone N. -1 4
Zip Code, Fax:
F-M ail: Phone No - '1-1 1
Fill in fee simple Title Holder on next page ff different E-I ail permits@expertshutters.com
from the Owner Misted above) State or County License 16572
If
value
of
construction i
500 or
more a RE F��E[ 111�ti� �� �� r��n �����t i required.
d+
If
value
of
HVAC i 7,500
or more,
a RECORDED
Notice of Commencement Is reu'rad.
._. v-�+4+�+w_rv. •mow-�.�.w.a.�•�•��+.�_y. ... t.t..�._..�._....�Yrr.Q.:,..,ai._M_y.......yacr^v^^�Y•-,.-:..++-.+�tti-n-:rs-rr,.�,-+,.�
: w:•+C-0.+:SF'i4:t 4{�'..rt•��VT*+!�IV.... - - — _
SUPPLEMENTALCONSTRUCTON LIENy
4>'V14A-rwnrxntiati•. .. .i....—:tir if:. .. _ _ _
DESIGNER/ENGI NEER: Not
+++t++Y++'++�wc.wRlfla�r,.::,..: n{�,avavr,+r-rr:: r..rr ..:a. rs.:.. r-rr.u.- h ... • • • . • . + {. •.. .. '. _ .•.
Applicable
MORTGAGE COMPANYNot Applicable
NaM e # Tilteco: Inc
+•wM+:wrrrWlr�rlrl�----•--•--•--•-• • Yi1 +�y •ti: �ti+...... ..._........ Name*
"535
Address',
t �x i
._.._..Y Address.,
C'ty-'
Virginia �{F}- tir•�drL4y.—_.__._..... Y'a�_.-_. _..YiYiiyiL�e State - F_ L Oty
PState
: ! �
i
i
P
one
.......... Z'
Phone
........... . . I P
+ _. _
a.
fleaµ+flf+arargW Irilr`I+YIlII�n-'--"--'-y.1•�.1•l..`.�—_—_—y4�.,-:•r.•_•.•.,..........y,....,:,y.r,
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Add re. S S d*
CityL
+ +Y��r��• i-: a r.••aa�:u :ar.:a.0 Wa__._}__waa��a_a_. ...
-r
Phone
BONDING COMPANY: Not Applicable
Name
Address:
C Ity
Ir Phone:_
OWNER/ CONTRACTOR AFFIDVIT:Application is hereby
made to obtainPermit work and installation as indicated.
I cert'ify that no WorkOrinstallation has commenced prior to the issuance Of a Permit+
t. Lucie CountV Makes no representation that i gr�i tipermit will �� � ��� �which I I I rr4 r it the subject structure
and l"cable Hom Owners i t rides, byla � �`9
an covenants that may restrict
structure. PleRse consult with your Home 0wne.rs Association and review your deed for any restrictions which may apply.
In consid.erationthe granting of this requested rm it, I do hereby r that f will in allrespects,
in accoruancewith the approved plans, the Florida Buildsn Codes S + �} i Count Amendments.
The following ddi nF applications are exeMpt fromnr . wy
fi,
accessory WL MS# 1 1 1, '1 1 , fences, walls, signs,, screen rooms andr L[SeS to another non-residential use
iVARNINC T FAILURE RECORD A NOVICE OF COMMA
TWICIE IFOR IMPROVEMENTS YOUR PROPE Y. A NOTWEENT MUST
BE RECORDED AND
POSTED ON THE JOB SffJE BEFORE THE FIRST INSPECTInN IF Yni I I9VU1KOWA 4-
WITH
r
•tip.—,� ... _ . .
Signature of Owner/ Lrlrr n
STATE OF FLORIDA
COUNTY OF bt, LuC__k0,,,
W lrqx
EFORE RECORDING EN -
}
r Owner Signature of Contractor/Licensp. Holder
7
The forgoing instrument was acknowledged before m
7 this _..x June2o 21 by
Michael Heissenberg
— -------------
Name of person making statement,,
Personally Known
�.�.....�_�. R Produced Identification
Type of Identification
Produced
+�a+.auY+�Y-W,a4i'r^"w-^"+'�R'F'fMti4�r+F+•.••�•OR.O..� :-:��t•.7wm __ __ __ _ n
I
J R
(Signature of Notary Public- State
Commission N.
GG258038
REVIEWS FRONT
COUNTER
( DATA J .__w�.__.........._
KUtJVtU i
COMPLETEDDATE
ZONING
REVIEW
NOTARY FtJD""#
Gomm# 91i2a0z
vxd%res
SUPERVISOR
REVIEW
STATE OF FLORIDA
COUNTY OF.S-1 , •L.,kj, r
The forgoing instru nt was nowt before me
i,J,.0 n........... 1 by
Michael Heissenberg
N�ime of per'son making statement.
Personally Known Produced Identification
ape of Identification
Produced
(Signature of Notary Public State of Flo
ham +� �s'�
S
mi �� l +G 2
NOTARY UI
TATE OF FLOR
comm# GG2580
PLANS
REVIEW
VEG ETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REViEW