HomeMy WebLinkAboutBUILDING PERMIT APPLICATOPN IFAIIAPPLICABLE INFER MUST BE COMPLETED FOR APPLI-CATION TO BE
ACCEPTED
Date : Permit F
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" Pe � Appli* cafion
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BuiPlonning ond Development Services ing
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Building and Code Regulation Division
0 Virginia Avenue., Fort Pierce FL 34982
Phone .- ( 772 ) 4 - 1 Fax. (772 ) 4 T1 m r ial X
Residential
PERMIT TYPE : Shutter . .
PROP05ED ]
M PROVEM ENT - LOCATION' . . . }
. . . . . .
Address , 8419 Muirfield VVAY
Property Tax ID 3328-802- 1 -0 -
Lot N o.
Site Plan Name :
Project Name : -Mirylees
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ian t ii I panel & 15 accordion shutters
CONSTRUCTIONANFORMATIOM, :...: . . . .. . :.:.: : .
Additional work to be performed under this r it -- check all that apply.
�Mechanical GasTank Gas Piping X Shutters
Electric _ Plumbing Sprin kl r
Total Sq . Ft of Construction , Sq . Ft . of First Floor:
utilities *Cost of Construction : 9 , 773.00 _ Sewe r iSeptic Building Height :
OWN-ER/LESSE E :
. . . . CONTRACTOR',
Na me Ewan A Mirylees JR ) Michael i rib erg
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Address : 1365 Ilili dill TES Company : Expert Shutter Services
City : Southport State : CT Address : 668 SW Whitmore Dr
Zip Code : 00 Fax, city .. Port St. LuPhone No . 917-640-0681 State : FL
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alp Code Fax:
E-Mail . Phone No 772-871 - 1915
Fill in fee simple Title Holder on next � a if different E_ a F� � rmit � � rt hutt r . o
from the Owner listed aboveCounty16572
State r License
If value of construction i 500 or more., a RECORDED Notice of
Commencement is required,,
If value of HVAC is $7.,500 or more, a RECORDED DED Notice of Commencement cement is required .
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DESIGNER/ENG ]
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NaM * Thtnoo. Inc
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FEE SIMPLE TITLE HOLDER4. NotApplicable � �� COMPANY*. Applicable
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OW N ER/ CO-NTRACTOR AF F I DVIT: App 11 cati on is
hereby made to obta J n a Perml -the work an d 'Installation as 1 n d j cated.
I certify that n work or 'tnstallation has commenced prior to the issuance {
t.
St- Lu c ie Cou n t • m a kes n o rep rese n tation th at is granti ng a p0rmit wi11 a uthrize the permit
any applicable Home Owners i Association rules, bylaws and n that m ` . r prohibit such
structure .. PIP-ase consult wiffi your Home Ownu3r�, sat] and � ,
I n consideration of the g r l ng of :t N s r a u cAstedr i ., I d o h ereby ag r that I witI 1 n a I] respects, perform
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accora a n ce with th e a pproVed P I a ns. the F 16L da BuiI d i - Codes a n d St. Lucie Cou nty Arnend men ts,
The folIow'l ng b uj I 'i ng pe rmj t a pp I catt on s are exempt front U n der of ng a f u 11 concurrent ! w.,- roots add ition
accessoryru r , swimmi ngPools., , wall , S'tgns., screen rooms andr n other -r i *i l use
ifWNINC TO OWNER: YOUR FAILURE TO RECORID A NOTICE OF COMMENCEMENT
TWICE FOR IEM S TO YOUR PROPE Y-w A NOTICE OF COMMENCEMENT BE RECORDED AND
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at U re o Owner/ Lessee/Con t ra ct r as Agent f r. Owner Signature of Contra ctor/License Holder
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STATE OF FL
STATE OF FLORIDA
! COUNTY OFCOUNTY 0Fjj,, j,,
The forgoing Ifurt was acknowledged " r m +
r rostrum was acknowledged before me
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Michael it
MichaelHeissenberg
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Mm person rma N g staternent. a i
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Personally Known OR Produced nii " e
Personally owe ___V1 OR Produced Iden-tificatton
Type of Idenfification
Type of Idenff atioo
rod Lived
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(Signature Not
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UIG (Signature
Notary Public- State of Flo
Shawn
Commission No. GG258r FLORID NOTARY PUBLIO
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