HomeMy WebLinkAboutApplicationAEI APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Narne Steven & Vicki Dixon
Add
r - 1 Stone fridge t
city: Fort Pierce
State: Fl,
Zip Code. 34951 Fax*
Phone No. 7-1-'
E- Iail.
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
Date:
Permit Number.
Building Permit Application
Planning and DevelopmentServices
Building and Code Regulation Division
2300 Virgin I'a Avenue, Fort Pierce FL 34982
Phone: (772) 462-1 553 Fax: (772) Residential X
PERMIT TYPE:
PROPOSEDIMPROVEMENT-LOCATION'. rSh. {.vr.v rY {-: }:y {.i} M1•{y0 {
Address: 4105 Stone Rid Ct
6 1313-502-0086-000-1
Property Tax ID #. Lot N o.
Site Plan Name: Block No.
Project Name.. Dixon
.DETAILED DESCRIPTIONOP WOR'K"
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Install 1 pnl & 11 accordion shutters
CONSTRUCTION INFORMATION.,. ................... ...... .. ..... ...
Additional work to
be performed under this
permit
—check all that
apply:
_Mechanical
_Gas Tank
� Gas
Piping
7{ Shutters Windows/Doors
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: 10,797.00
Sprinklers
Generator
Roof Pitch
q. Ft. of First Floor:
Utilities: Sewer = Septic Building Height.
-CON-TkACTOR:.
OWNER/LESSEE:
Name: Michael Heissenberg
Company: Expert Shutter Services
Add
r SW Whitmore Dr
I it Y: Port St. Lucie State..,
Zip Code. 34984 Fax:
Phone No 772-871-1915
E-flail permits@expertshutters.com
State or County License 16572
If value ofconstruction i 0 or more, a RECORDED Notice of Commencement
If value of HVAC is $7,500 or more., a RECORDED Notice of Commencement .
� required. i red.
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DESIGNER/ENGINt- ERI, ...... Not. Applical
MORTGAGE COMPANY: d6bbw b=44- Not Applicable
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Address:'
6,156 NW 36th 81 sultm5
City" Virginta Gardens .....
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Name,
Address-,
City: �tr State:
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zip# Phone:
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FEE SIMPLE TITLE HOLDER. Not Applicable
� of Applicable
Name. -,,—Name
rAddry Address:
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CONTRACTOR AFFIDVIT: Application 'i r # i +
indicated.
I certify that no work or I n s tal i ation f) as com M en ced P n r' to the j ssu a n ce of a permF i
St a Luc le- Cou n ty
Ii makes rep t ion i t ti r i wi I I ri t r
Ctu re
coy list with any applicable Home wt Ass iati t,�Tl , laws rand covenants hprohibit
Association a n d rev;w you r deed for any restrictions which may apply.
In consideration ofthe granting of thisrequested r i, I do hereby agreethat Iwill, in all respects, perform the work
in accordance wltei the approved plans, the Florida Buildi Cedes and St. Lucie Cour)ty Amend
The following building permit applications are exempt from undergoing a full co'ncurrency review- room additions, 5
accessoryr r , swimming # walls, Signs, screen roonis and a1ccessory uses to anothernon-res'dent"al use
�6WIC TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
TWICE FOR IMPROV TO YOUR PROPEa A NOTICE OF COMMENCEMENT NU BF. RJECORDIED . AND
POSTEDC"V THE JOB SITE EFFIRST INSPECTION. WW IV I YOU �� N
.9 CONSULT
10 . f
Signature of Owner/ Lessee/Contractor as Agent f
STATE OF FLORIDA
COUNTY OF
AFORE RECORQp11G YOUR NOTICE OF CUMI4�ENr-S
r Owner
The forgoing instrument was l
I i21.. uvv�
` fri
k2l i) y
—michael Heissenberg
Name of person making statement.
Personally Known OR P"'OducedId e ntificat ion
Type of ld�ntsficatton
-rO d Eked Personally Known
STra�v_uJ.vx .... ..... max::: n.v • ... ���
(Signature of Notary Public- St''aie
CommissionNo.
REVIEWS
DATE-_
RECEIVED
DATE
CO1V1PLFTED
GG258038
FRONT
COUNTER
I
PUBLIC
of IFLOR0
res 91121202'
,-F
ZONING S U P E R VI'SO R
REVIEW RV1lfll
,u a a�............. d,,.,
Signature of Contractor/License Holder
STATE OF KtRIDPACOUNTY dF��
r i i n try t w acknowledgedbefore
this 2 t June
.----v
Y + _ �a. awxxw�2o 21 by
Michael Heissenbe
........................
NC-ime of person making statement, -
Personally Known - II.1i1.5 ._.uawara ProducedIdentification
type of Identi fi cati o r)
Produced persona Ily Known
(Signaturef Notary Public- State
Commission No. GG258038
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
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OMM# GG2580
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MANGROVE
REVIEW