HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit it umb r:
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! 'COUNTY
Building Per *it
Application
Planning and Development Services
Buliding and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone : (772). 4 - 1SS Fax : (772 ) 462-1578 Commercial Residential x
PERMIT TYPE : Shutter
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P ROPOSE-D .1-M PROVE-M ENT LOCATION.:-. .",-,....." '''
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Address : 3312 Caracal Dr
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P r r Ta l D #; 1 4 - - - - I .
Site Plan Name : Bloch No .
ProjectName :ae : r nd
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{:DETAILED DESCRIPTION' OF . ... . . . . ... . .
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I n t211 1 crank roll & 5 accordion s hut t ers
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CONSTRUCTION INFORMATION :'— _:,: . . . : .. : . .
Additional work to be performed med under this permit — check all that apply:
�Mechanical ' Gas Tank Gas Piping X Shutters Windows/Doors
Electric i Plumbing Sprinklers Generator Roof Pitch
Total Sq . Ft of Construction . Sq . Ft . of First Floor:
Cost of Construction : $ 61268 . 00Utilities .litie � Sewer Septic Building Height :
.•. CN,T ACT0-R-:
OWNER/ LESSEE '
Name Henry M Arcand Jr Name , Michael Heissenberg
Address : 3312 Caracal Ear Expert Shutter Services
Company :
City : Fort Pierce State : FL Address : 668 SW Whitmore Dr
34949 • �
Zip Code : Fax : it eta L • FL
Stet ,
Phone No . 7 , - 1 Zip Code : 34984 Fax:
E- M il : Phone No 7 - 1 - 1 1
Fill in fee simple Title Folder- on next page if di ererat E- I ail permits@expertshutters.com
from the Owner listed above) State or County License 16572
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required
If value of HVAC is $7,500 or more., a RECORDED Notice of Commencement is required.
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AW '1N FOR
SUPPLEMENTAL CONSTRUCTION LIEN'''
DESIGNE �/_tNGINEER ;
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Applicable
MORTGAGE COMPANY: Not
` Narne.. Name.
Address 635-5 mv 'xti1 st suiteAddress .
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FEE SIMPLE TITLE HOLDER : NotApplicable
BONDING COMPANY: Not
Applicable
N a me Name, }
Address :
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city: City:
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OWNER/ CONTRA OR AFFIDVIT-.0 Application is hereby made to obtain a permit to ft the work an •installation as indicated .
I certify tLL no work installation has commence-d pr]O, r to the issuance of a permit..
Sty Lud e ,Corr representation that i s graj n g a pe.rmj t w i I I u thorwizethe permit hol d er •t b ufld the subject structure
which is in contlict with any I ica bi e 11om e Owners •t att on �-ides# byl a w covenants that may restri Ct. or p soh i bit such
structure, I n SU 1 • W1 th Your- � w n f a ti o n a nd review r deed for any restrictions which may apply'.
I n cons-d r a ti o n of th e grand ng off. his r eq u e s ted perm i t, I d o h erebyagree that I wl 11, 1 n a II res pects, perform the work
+ the approved plans, the Florida B,,Ading Codes and St. Lucie County Amendments.
The following building pernij applications are. exempt from undergoing a full concurrency review: room additions,
acc,essory structures, spry ini pools., fences, walls, signs.. sc.reen rooms and accessory uses to another non-residential use
"WNC TO 0WNER:!'rr' YOUR FAILURE TO RECORD A NOTICE 01F COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEMENTS TO YOUR PROPERTY0 A NOTICEMM N ENT MUST RECORDED AND
POSTED JOB SITE f FIPST INSPECTION. INTEND TO OBTAIN FiNANCINC, CONSULT
�Ar RN �N NOTICE .
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in at use of Owner/ Lessee/Contractor owner Signature License Holder
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STATE OF FLORIDASTATE OF FLORIDA
I COUNTY OFi , L COUNTY OF
t The, forgoing instrument was acknowledged before m, e The -fog of n ginru m P. n t was a ckn ow']
this 3 N 1
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..�R_.._�.. x� by
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Michael HeissenbeLq Michael Heisse nberg
Name of person making statement.. Name of personmaking statement.
{ Personally Knownx ¢....It��..,. R Produced Identification Personally Knows lv/------ V OR Produced Identification
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Type f Identificationf T
Produced— Produced
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(Signature., Nara� �i w .State f ( Signaturez �.
INOTAR AJ f Notary Li i State Floc Shanon UShoa }
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GG258038IS NOTARY
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEG STATION SEA TURTLE MANGROVE r
COUNTER � R V W � REVIEW REVIEW REVIEW
REVIEW REVIEW
RECEIVEDDATE
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DATE
COMPLETED
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