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 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 452-1553 Fax. (772) 462-1578
PERMIT TYPE: Shutter
Permit Number:
Building Permit Application
Commercial Residential x
PROPOSED
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Address: 8829
One Putt Place
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ONSTRUCTION .. .
INFORMATION,::.
Additional worm to be performed under this permit — check all that apply.
Mechanical � Gas Tarok _ Gas Piping X Shutters
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: 676.00
OWNER/LESSEE:
�Sprinklers
Generator
Roof Pitch
q. Ft. of First Floor:
utifiti : Serer Septic Building Height,,
Name Fred A Marcussen VTR}
Address: 8$29 One Putt Place
City: Port St LL1Cle State. FL
Zip Code: 34986 Fax:
Rhone No. 650-333-31 70
F-Mail:
Fill in fee simple Tithe Holder on next page if different
from the Owner listed above)
CONTRACTOR::::...'_,:. . ...........
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Name: Michael Heissenberg
Company- Expert Shutter Services
Add
r SW Whitmore r
C-ty. Pork St, LucieState:
Zip Code: 34984 Fax:
Phone N - 1-1 1
F- a i I permlts@expertshutters.com
State or County License 16572
If value of construction i 00 or more, a RECORDED Notice of
mencment is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required,
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SUPPLEMEN...R.UCTIO'N
'' NFORMATION',
DESIGNER/ENGI NEER: Not
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Not Applicable BONDING COMPANY Not Annfirnhirs
Address.
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ZipY N Phone:
Name:
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OWNER/
C(,, y� /-� '� ` hereby made obtain permit o the work installation a indicated,
+ Y�} that ��+.V w1F'�+ 7 installation # { { � r 4 �r �
has commenced prior the issuance of a permit.
. Lucie re p on that j s g ra nt-i rr it wj I I a u thoriv� th ' is in i �' 11 Sub t structure
with n applicable � m Owner Assoc ire rules laws r y[j+yy� •�yf�i h"bit q �!"such
nie Owners A.t� rid reviews your deed t1{rryy''
In consideration of the granting of Lhis requestecl peidn-'flt., I do hereby agree that I will in all respects, perform the work
in accordancewith the approved plans, the Horlda BuddingCodes and St. Lu'cele Count
y Amendments,
The following buildi-ng perni p'l
1 concurrency review; room additions.,
accessory structures, swirnrning pools, fences,, 1% signs., screen rooms and accessory uses to onother non-residential use
4WARNINC TO OWNER** YOUR FAILURE T
I COMMENCEMENT MAY RESULT IN . YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE AIF CnMurfurrurm-r mmi=lr 101v ri
POSTED ON THE JOB SITE BEFORE THFy
WITH YOUR LENDER OJR,
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sign r of Owner/Lessee/Contractoras Agent f
STATE Of FLORIDA
COUNTY OF bt-,Lac;
FIRS" INSPECTION. If YOU INTIEND TO OBTAIN FINANCING COPdSIJLT
....EFORE RECORIDINC; YOUR NOTICE OF
com MEN
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PrF r err Jw.
r Owner
forgoingThe •fU mf"nto fedged b0re m
th *1s ... -_ day of..J u ne
2o 21 by
Michael Heisenberg
Name of Person making Statement,
Pt�rsonally Known OR Produced Idea tifitlll
T Identification ...._vA
Produced
w
pignaLure Of Notary Public- Stl
Commission No. GG258038
RE1/(1i1iS
DATE
RECEIVED
DATA
COMPLTM
FRONT
COUN'TER
O.TjkRy f>U13LIC
OTA
Signatureof Contractor/License Holder
STATE OF FLORIDA
COUNTY OP Ki,,;
The forgoing ire tr men way acknowledged before m
hi f June2jD21
by
Michael Heissenberg
Name of person making statement.
Personally Known q.........�1 -.,,---..._. Produced � nti i �•i
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Type I��iiti
Produced
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(Signature of NotaryPublic- State of Flo Sharton O'Shos
NOTARY PUBLI
Comnlisslvn Nv. GG258U38
ZONING SUPERVISOR PLANS
REVIEW R1il'fhl RE -VIEW
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REVIEW
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