HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCENTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia venue, Fort Pierce FL 349,82
Phone: (772) -1S Fax: (772)462-1S78
PERMIT TYPE: Shutter
PRO-POSEDIMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential x
.... ..........
Address:
11626
Okeechobee
Rd
rti • . - �i r• titiwy- __ —Y - .Trs
r
Tax
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0 0" Lit
Site plan Name. Block No.
Project Name: Crooks
}. f. ................
.. ...........
-c-ONSTRUCTION-IN'FORMATION':''...
-----_--_--_-_--__- --------------- ---_--_--'•__-'� - -- ---� --� -- � i - - - - - ... - f f . f - - - - - - - •••Y l 5' . : i
Additional work to
be performed under this
permit
—chick
all that apply:
_Mechanical
� Gas Tank
� Gas
Piping
X Shutters Windows/Doors
Electric
Total Sq. Ft of Construction:
Plumbing
Sprinklers
Generator
q. Ft. of First Floor;
Roof Pitch
Cost of Construction: $ 55714.00Utilities: t }
-- r Septic Building H eight.
OWNER/LESS-E-E: ............
Name William H Crooks
Address.- 11626 Okeechobee Rd
City; Fort Pierce State: FL
Zip Code: 34945 Fax.
Phone No. 772-489-5628
E-M ail F
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
�W N.
CONTRACTOR} 1.0 4ax¢Yo-xn
. .
... • ' } • .• . . . . . • . . . • • ,
Name; MichaelHi nbr
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Fort St. Lucie State: FL
Zip Code: 34984 Fax.
Phone o - 71-11
E- Iait permits@expertshutt,ers.com
State or County License 16572
a value aT construction I bUU or more., a RECORDED ORDED Notice of Commencement is required.,
If value of HVAC is $7,500 or more, a RECORDED FADE[ Notice of Commencement is required,
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S UPP L E M E N TAL --C.0-N'S-1. ATI - N
J'RUCT:10'N LIEN LAW INFORM .0
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DESIGNER/ENGINEER,MORTGAGE COMPANY -,Not Applicable
Name: Tifr I
011 Name:
A o o r e s s t 63 55 NW 36th 81 Su 305
C
i t y Virgin is Gin rd ens, State�
JP0
Z� 0 Phone
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FEE SIMPLE TITLE HOLDER, Not Applicable
Name:
A d d r e,,,% S . .............. .....
C t y
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y..�
Address:
City
- State
Zip:
BONDING COMPANY: _Not Applicable
Nam11e*
Address.
City.
Zip Phone,
,-,-..4�.:+,rr•ie{�{,►+{.r�+�-rt�.�rL....:..:........_.•-.v:....+....+++�_�•,r�
„r,1,•:----'-'v+.+..+.y+.+.�Kr..�� ._. f — t OWNER/� YiY/iY/�Y,Y�_._—_. i1Y-Y�/•iY444•/v�:T_.!•1—!'/•h/••/•/•M•iL•/iL•��I'I�l�!•PFkP�1�11W�
CONTRACTORAFFIDVIT4,' . li �tien' here made t i Lpermit i
nstaflat
I rtf that n work r installation � commenced prior t issuance permit. Ion as
Sty Lucie County makes no representation that is g � 't 'JI a uthorize the permit to build the subject structure
which is in contfict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict
Ownersstructurp,r Please consult with your Hollic, Association and review your deed for any restrictions which May apply,
In consideration of the granting of this i-tlquested permit, I do herebyre that I will,in
in accordance with the approved.plans, the Florida Budding Codes and St. Lucie County Amendments,
The following building permit applications are exempt from undergoing full concurrent revs additions,
accessory structures, swimmirig pools., fences., walls, signs, screen rooms and accessory uses to another non-ridentlal use
"W ► I OWNER: YOUR FAILURE TO RECORD A 140TICE
TWICE FOR IMPROVEMENTS TO YOUR PROPE Y. A 140TICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE TH FIRST INSPECTION. IF YOU D TO OBTAIN FINANCINGI, CONSULT
j $ tiY
} f f
• i�F
i
ig at Own r Les trr .
EFt)ftE REtilRi3ihtC YOUR NOTICE OF Ct)M NT
r 0wnei• Si r;�t�€re of �t3ntr� r � :r-
g c� �tt� /l.icense Holder
STATE OF FLORIDA � STATE OF FLORIDA
------ COUNTY OF
COUNTY OF
The forgoing instrunnent was acknowledged before me
this 2 1 ciay of June
2
Michael Heissenberg
Mme of person making staternent.
Personally Kn OR Produced Identification
Type of Identification
Produced. Personally Known
�vw
I
(Signature of Nar Public -'State of
Commission No, GG258038
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
•-• yxnY •"���rwrn .:: .:_av _..���LL�_M1L �... ur_ �.
I
supEnvisoR
REVIEW
The r ping instrpment was acknowledged' bore me
this 1 . day of i u
Y Vm2o2l
r,
Michael Heissenbe
............
Name of person making statement.
}
Personally Known
ivy.. . _p.'.1.. .._ _.. .. ._....
Type of Identification
OR Produced Identification
Produced rn l l Known
�Signature of Notary Public- State of Flo
Commission No. GG258038
PLANS VEGETATIDN
REVIEW REVIEW
PC