HomeMy WebLinkAboutBUILDING PERMIT APPLICATION Fa
PPLICABLE I I' F M U T BE COMPLETED FOF PPLI TIO T E ACCEPTED
t e : Permit Number:
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..............---------------------------- Bu *i1d *ing Perm *lt Application
Ploning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue{ Fort Pierce FL 34982
Phone : 4 -1 Fax : 462- 1578 Commercial Residential X
PERMIT TYPE : Shutter
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PRO POSED I M PROVE MENT LOCATION . . . . . . . . . . . ... . .
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Address : 1649 S Brocksmith Rd .
Property Tax ID . 2317-243-0005- 100-2 Lot No .
Site Plan Name : Block No.
Project Name : Dailey
DETAILED DESCRIPTION' OF WORK4, . . . . ...
Install 1 accordion h utters
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Additional work to be performed under this permit — check all that apply:
Mechanical _ GasTank Gas Piping X Shutters Windows/Doors
Electric Plumbing S p r i n k l e rs Generator Roof Pitch
Total Sq . Ft of Construction . Sq . Ft . of First Floor :
Cost of Construction : TT 77137 . 00 r Septic BuildingHeight .
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. :'OWNER/ LESSE-E4L . .• ACTOR' . . :.:.: : . .
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Name Patrick & Ari l Dailey Name : Michael Heisenberg
Address : 1649 S Brocksmith Ind . Company - Expert Shutter Services
it , E m Pierce State : FL Address . 668 SW Whitrnore Dr
Zip Code , 34945 Fax: City: Port St. Lucie State : FL
Phone No . 724-612-7052 Zi od t 34984 1 Fax:
E- 1 a it : Phone No 772-871 - 1915
Fill in fee simple Title Holder on next page if different E-M a i t permits@expertshutters .com
from the Owner listed above) State or County License 16572
If value of core ruction i or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500or more., a RECORDED ORDED Notice of Commencement is required.
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SUPPLEMENTAL-
CONSTRUCTION LIE'NIAW,• MF {t-�{-{+yam+ b.. �Y�:j{ r. •• }v, .....
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Not ApplicableMORTGAGE COMPANY: Not Applicable
Name ,NaM e Tiftew im. I
1 Address ; 6355 NW 36 t ud 3 y� w
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I t y: Virproa Gardens
FL
State ,
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FEE SIMPLE TITLE HOLDER ., Not-
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Applicable BONDING COMPANY.. Not Applicable
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OWNER/ CONTRA O AF F I DVITO.' Ap J}yh Jc a .01 on 'is he reby rn ad {yam}b {n
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I certify that ri o work r installation has commenced prior- !.-o the issu a n cc, Of a Permi t.
. Lucie 'County makes no representation that is granting a permitwill authorl'2e the permit holder to build
fica b I e Horn e Owner o is ' rule# � � � °� restrict � prohibit .structure . Iea consult with r � Owner s . 1 ysuch
�i i and review your deed for anyrestrictionswhich may apply,
In consideration of the granting of this requested r I , I do hereby agree that I will, 'in all respects, performthe work
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in accordance w*1 plans, the Florida Building Codes and St. Luce m rim' # .
'The foflowing building permit i i are exempt frOM Undergoingt l concurrency review: room i i
accessory r am• r , swimming poois, fences# walls, si
� c re e n roo nisc-e r t non-rest i l use
"WARNINC TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEMENTS TO YOUR PROPE Y. A NOTICIE OF COMMENCEMENT MUSS RECORD
POSTED ON THE JOB SITE BEFORE T - FIRST INSPECTION., IF YOU INTEND TO OBTAIN FINANCING CONSULT
I LENDS N E FORE ZINC YOUNOTICEN E N
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Signature of Owner/ L rr r a-&S Agent f r Owner ig n r f Contra ctor License Holder
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STATE OF FLORIDA
3 STATE OF FLORIDA
COUNTY OF__,.__T' le COUNTY
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The forgoing instrument was acknowledged bel'041"C' file
3 * 3 July +
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Michael HeissenbeLq Michael Heissenberg
Wme of person making statement}
. Name of person making statement ,
Personally Known 2
Type of Identification Personally Known OR Proiduced Iden-Liffication
Produced
Type of Idientification
---------- Produced
(Signature of Notary Public-- --State
C (Signature of Notary Public- State of Flor' ' sm
Or-
Commission . GG258038 § GG2 3 Commission No. GG258038
Y TAR O
Comm# TA OF FLOR
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REVIEWS, FRONT ZONING
i SU PE RVISOR PLANS VEGETATION SEA MANGROVE
COUN 'TER k+:-0^�Y.tv.rtiv.____....a.YSY•v-n�n �_...a._.. REVIEW
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RECEIVED
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