HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FAR APPLICATION TO BE ACCEPTED
Date.
Planning and Development Services
Building and Code Regulation Division
00 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 46 -1 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential x
PERMIT TYPE: Shutter �~
PROPOSED IMPROVEMENT LOCATIO:1:::::`: ° : .. ... :-'. .°-: ':.:......
Address: 6155 Arlington Way
Property Tax !D #: 1312-501-0104-000-8 Lot No.
Site Plan Name: Block No
Project Name: Guzman
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DETAILED.-
DESCRIPTION
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Install 11 accordion shutter
CONSTRUCTION INFORMATION'i'':'''
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Additional work to be performed under this permit— check all that apply:
Mechanical ' Gas Tan � Gas Piping X Shutters Windows/Doors
Electric _ Plumbing - Sprinklers r e aerator Roof
Pith
Total Sq. Ft of Construction: . Ft. of Fiat Floor,
Cost ofConstruction: $ 6FOO6.00 Utilities-.-
Height -
OWN ERJLESSEE:
Jame Gerardo G Guzman Jr
Address: 6155 Arlington Way
City.- Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. --
5263
E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner fisted above)
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'CONTRACTOR:
Name.- Michael HNnbr
n ; Expert Shutter Services
Address: 668 SW Whitmore Ear
City, Port St. Lucie State: FL
Zip Code:0 Fax:
Phone No 772-871-1915
E-I ail pe rm its@expe rts hutters. om
State or County License 16572
If value
of
construction i
00 or
more., a RECORDED DED Notice ofCommenCement is required.
If value
of
HVAC is $7,500
or more,
a RECORDED Notice of Commencement is requked.
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SUPPLEMENTALCONSTRUCTION LIEN"'LA-W'--l-N-FORMATION''I.. .. ....
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DESIGN ER/ENG IN EER:
NotApplicable k--- -------
'MORTGAGE +MN: Not
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Name.-
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FEE SIMPLE TITLE HOLDER: ,F+i•1-1•ril•i -- � �• as _ __ _
Not Applicable BONDING COMPANY&Applicable'""
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made. t .{ t k
i work 'alti indicated.
I verify thatno r r installation has Commenced pnor to the issuance a permit.
t* Lucie � u # makes r pr ��i i that i granting will authorize perm -it hold it the structure
which itt with any opplicable Home Owners Asssociation rules* bylaw' r and covenants that m restrictprohibitsuch
t re. leas consult with your �iom � OwnersAssociation review
your- deed for
�y�.7,}+y�� restrictions which
may a
pplV.
In considerationthe granting of thIS requested rrn i, i do hereby agreethat I will, in all reppects, pe'rform the work
in accordance Wth the approved plans, the Florida Builclingand'St. Lucie County Amendments.
The following building permit applications are exempt Trom undergoing a tull concurrency review.-, room addition
accessoi-y strULtUfeS, SWinlfning pools, fences, walls, Signs, screen roorns and accessory uses to another non-residential use,
"WIC
TO OWNER: YOUR FAILURE TO
RECORID A NOVICE OF
COMMENCEMENT MAY
RESULT IN YOUR PAYING
TIMICE
FOR IMPROVEMENTS TO YOUR
PROPERTY.I
ENT
MUST BE RERDA
POSTED ON THE JOB SITE BEFORE THF.,e
WITH YOUR LENDER OR !?k11i�'�
Signature 4f Owner/ Lessee/Contractor as Agent f
� Z)TATE Ul- I-LC1KI UA
COUNTY OF
{
The forgoing instirument was arj<rlowledgedror
i day of June 20 21 by
Michael Heissenberg
...... ----------
Name of person making staiernent,
FIRST INSPECTION* IF YOU INTEND TO OBTAIN FINANCING CONSULT
EFORE RECORDING YOUR NOTICE OF COS NC, MENT/ ..��_mmM.x.__.._.._.TM.xa4a�.......
r r
Personally Known OR Type f Iifil - ..._.�.mm.,.
on
Produced
(Signaturef Notary Public- State
Commission No.
RElf1LM5
DATE
RECEIVED
DATE- .._
COMPLETED
ev4 71-7PTm"�
GG258038
..........
F R 0 N
COUNTER
ZONING
REVIEW
l�ia`T��'� P`LJat..lCLoRto
SUPERVISOR
+,Y,u/r,.r.
i
STATE OF FL RIDA
1 COUNTY OF
FY•F'�I-lapl{;. ti-+___.. _ _. I,YI IVY:
The forgoing instrument was cknowl d' before me
h+,s day of June 1 by
Michael Heissenberg
Name of person making statement.
Personally Known OR Produced d -tiff, ion
W._
. -
.i of Identification L-EMEP-4...
Produced
alj 6 ( . Lk.
,&WOrL a-kOt _..
(Signature of Notary Pubkc- State o;ii
sar�on �3''s� NOTARY PUB�.t
Commission No. GG258038 _--__.- e TATE OF FLORID
PLANS
REVIEW
VEGETATION
REVIEW
REVIEW
SEA TURI'L
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