HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FAR APPLICATION TO BE ACCEPTED
Date.
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce Ft 34982
Phone: (772) 452-1553 Fax: (772) 452-157$
PERMIT TYPE:SI1Utt@C
CONSTRUCTION INFORMATION
Permit Number`,
Building Permit Application
Commercial Residential x
Additional work to be performed under this permit— check all that apply;
`Mechanical � Gas Tank � Gas Piping X Shutters
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 9q752.00
Sprinklers
`Generator
Windows/Doors
Roof Pitch
q. Ft, of First Floor:
Utilities: Sewer � Septic Building Height:
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Name Milton Johnson
Address: 5624 Spanish River Rd
City: Fart Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 561-281-3601
E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
CONTRACTOR,
Name.- Michael Helssenberg
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Port St. Lucie State: FL
ip Code. Fax,
Phone No 772-871-1915
E-POall permits@expertshutters.com
State or County License 16572
If value of construct'on 'is $2500 or more,, a RECORDED RDED Notice
If value of HV 'is $7,500or more, a RECORDED Notice of
Commencement is required,
LABCONSTRUCTIONLIEN -I U PP LE"I'VIE NTAL - '
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DESIGNER/ENGINEER,,M Niot�
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J,q a M e * I moco, tnc
Ad d r W 36th St Sully
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Virginia Gardens
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State
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PEE SIMPLE TITLE HOLDER
Name. -
Address:
• � Not Applicable
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City:
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BONDING COMPANY: _Not Applicable
Name:
Address:
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ity .
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OWNER/ CONTRA OR AFFIDVIT1*1 hereby made obtain i t to do the work _• a nd installation
* t i Indicated.
I certify that no work or _nstallation has commenced prior to th-e i
ssuirince of a Permit,
St. Lube Uunt .,makes. no re resentation that is Branting a perm't w"If authoryze the porrn't holder to build the subject structure
t such
which is in con ict t any �� l HomeOwners A la * rules, laws � ipror structure, Please coilsult with -your Home F
Owners Association land review your, deed for any restrictions which rnay apply,
In consideration of the granting of this requested
m't, I do hereby agree that I wfll, in all respects, pe'rform the work
i accordance with the approved plans, Floridathe � ri Building i
r and . Luce Count i r .
``he following building per it appli exempt frolreview,• additions,roaifl
accessory structures, swimming pools., 4111ce , walls, signs, screen rooms and accesses use -
pother non-residential use
NOTICE"WA INC; TO OWNER: YOUR FAILURE TO RECORD A MEN M ENT MAY RESULT IN YOUR PAYINC
TWICE FOR IMPROV ENTS TO YOUR PROPERTY* A NOTICE OF COMMENCEMENT
POSTED ON THE JOB SITE BEFORE THE .FIRST INSPECTION. IF YOU INTEND TO 0 AIN FINANCING, CONSULT
WITHYOUR LENDER ORNEY EFORE RECORDING YOUR NOTICE OF C0MME1V"NFNyj"
f Signature of Owner/ Lessee/Contractora-s Agent f r Owner
STATE OF FLORIDA
COUNTYOF�' �-�.
.the forgalflg #tt ent was acknowledged bel'orem
t 1 by,.-.. "
4
X 11
Name of pfson makingt:rT
Personally n � Prod � r � rat,
hype of Identification
Prod u cep
(Signature of No
r'l" - State
Commission NL 63. 51
REVIEWS FRONT
C.UUN i ER
DATE
RECEIVED
DATE
COMPLETED
ev
ZONING
REVIEW
i*W t+t+r• +,•.a
i' r ? of Con tractor/License H oldier
STATE OF FLORIDA
COUNTY OF �4 .1 i
The forgoing instrument l d before me
t6 i 5 y, by
Lla E-21 -------------iie, � -
Name of person making state-Ment.
Pet-soI �y Kn own
:,�.._..�_.._.._.�. Produced I r� :� i �
Type of Iniiir)
Prod
VIA,
(.sign r Notary lit- State of Floc'
Shanon UShaa
- NOTARY PUBLI.
Conllliiss.ion No. ...TATE 01F FL01
PLANS VEGETATION
REVIEW RSV#EU1i
■:.ra.ty
SEA TURTLE MANGROVE
REVIEW REVIEW
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