HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FAR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia venue,. Fort Pierce FL 34982
PermitNumber:
Building Permit APplication
rnone: (112-) 461-1553 Fax: (772) 462-1578 Commercial Residential x
1.
PERMIT TYPE: shutter
PROPOSED IMPROVEMENT LOCATION
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Add re; 68 1 9 VVBorth Ter 17 7
Lot No.
Site Plan Name:
Block No.
Project Name., Geier
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install 1 clear panel, panel �1 accordion shutters ttr
CONSTRUCTION. -.INFORMATION:..........
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Additional work to be performed under this permit —check all that apply:
Mechanical � Gas Tank _Gas Piping X Shutters
Electric
Plumbing
Total Sq. Et of Construction.,
Cost of Construction: $ 41946.0
_Sprinklers
Generator
q. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: Surer � Septic Building Height:
OWNER/LESSEE:.
Name William J Geier Jr (TR)
Address: 6819 Wadsworth Ter
City: Pad S# Lucie State: FL
Zip Code: 34952 Fax;
Phone No. 772-467-0280
E-Mil:
Fill in fee simple Title Holder an next page if different
from the Owner listed above)
CONT-RACTOR-:''.
Name: Michael Heissenberg
Co
mpany. Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Port St. Lucie , Ft_
tatt
Zip Code; Ea.,
Phone No 772-871-1915
E.Mi l err -pits@e p rt hutt r . om
State or County License 16572
If value of construction is $2500 or more a RECORDED DED Notice of Commencement is required.
If value of HVAC i 7.,500 or more, a RECORDED Notice of Commencement cement is required.
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,� ORTGAGE COMPANY. r
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Address: NVV -Mth 81 Suffn 305
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FEE SIMPLETITLE HOLDER: NotApplicable
Name-,
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Address:
city;
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BONDING COMPANY:
OWNER/ OR - - -- _----_--_-rn•r��rrrrr}v}Y{r}..a..... .w�*,•--.5...�T�M �aa.nax uaaa
AFFIDVIT: Application Is hereby made to obtainpermit a ytion as {
indicated.
I certify t qh a L n c wo rk o r I nst a] lati-on has com M enced r' or to t h(� i U an ce of a Pe rm i.
, Lucre CountWhich is in con makes representation that i granting willauthorize 5
. fi Home OwnersAssociation rules bylaws r andcovenants �+.+a�� a restrict or iit holder to build the subject i y�j.,
structure. le consultifti your Io Owners Association and review your deg restrictions f prohibit
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pply.
Inconsideration f the grOntillg of Lhis requested per- m. 1 do hereby agree that I will,in all respects, perform the work
in accordanc-ewith the approvedplans, the Florida Sufldlq Codes and St+''
County Amendments' 4
The following buildinp,per niit applications are exempt from undergoing a full concurrency review.- oom additions,
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accessory structures. Swimming pools, fences., walls, -s-igns., screen rooms and accessory uses to another non-residential"'"ARNINC; TO OWNER: YOUR FAILURE TO RECORO A NOTICE OF COMMENCEMENTIN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTYu A NOT CE OF CtImmFourFmirsuir
POSTED ON THE J013 SffE BEFORE
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ORNEY
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Signature of Own er/ Les<,,e.,e/Con tractor Agent
'STATE
OF.�jt
COUNTY
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FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINtI►NttNG, CONSULT
EFL']RE RECQRDiNC YOUR 11iCiT10E [3F CaMElll1r.P
Owner
The forgaing ins
trumentwas acknowledged before m
th day •f June
2o ... 21 by
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Michael Heisenberg
Name of person making sij)tely►enf.
{r�
PersonallyKnown
OR Produced Identificatlun
Type of Identification vYmm
Produced
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(Signature, of NotaryPublic- State
Commission No. GG258038
FRO-NT
COUNTER
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Signature f Contract r/License Holder
STATE OF FLORIDA
COUNTY OF_E _L U Q_( -- -------
forgoing instrument was acknowledged before. me
this,fi day off• dune 1 by
Michael Heisenberg
Uc,ime of person making staternent,6
Peoionally Known �I,•Yisi OR Produced Identification
'tyl) t Of I d e a tl !cat: �-� 1-�-- -�....
Produced
(Signature of Notary Public- Sate of FIor" Shsnon aSt*a
� ��xrrr�# GC����'8 Car��r��issio� No. ,GG?58038 _ . � NC�TA�tY P�iB1.lfi
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)NING SUPERVISOR
--VIEW REVIEW
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PLANS
REiitEW
VEGETATION
REVIEW
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SEA TURTLE
REVIEW
MANGROVE
REVIEW
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