HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit Number :
Application
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Planning and Development Services
Building and Code Regulation Division
2300 it inio Avenue,, Fort Pierce FL 34982
-- Commercial PS Id n l l X
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PERMIT
shutter
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Address , 1 Fort Pierce B LV D
Property Tax ID f 1301 -602-0011 -000-5 Lot No..
Site Plan Name : Block o .
Project Name : Chambers
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DESCRIPTJ.QN . OF 'WORK
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Install 14 accordion shutters
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CONSTRUCTION
INFORMATION
Additional work to be performed under this permit — check all that apply:
Mechanical GasTank Gas Piping X Shutters Windows/Doors
Electric Plumbing Sprinklers � Generator Roof Pitch
Total Sq . Ft of Construction : Sq . Ft . of First Floor :
Cost of Construction : $ 6a252POO Utilities : Sewer Septic Building Height :
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OWN E R/ LESS E
7 CONTRACTOR.:
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Name Michael J Chambers dame: Michael Heissenberg
Address -- 1 Fort Pierce L V r n Expert Shutter Services
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City : Fort Pierce State . FLAddress : Whitmore Cyr
Zip Code : 34951 Fax: City : Port St. Lucie State ,,, FL
Phone No. -- 1 - 0 0 Zip Code : 34984 Fax :
E-flail : Phone No 772-871 - 1915
Fill in fee simple T*Itle Folder on next page if different E - ICI a i I p rr its@ p rt huts r . om
frorn the Owner" listed above State or County License 16572
If value of construction i 5 0 or more, a RECORDED Notice of Commencementis required*
If vaiue of HVAC i 7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNERIENGINEER : Nod. Applicable
MORTGAGE COMPANY.. Not Appl'icable 1
Name * N a me :
A d d r e ss : 163 55 NVV 36th S1 ;Suite 305 Address !-
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Phone JP Phone,
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FEE SIMPLE TITLE HOLDER . Not- Applicable BONDING COMPANY.. Not
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Address , Address .
C I,ty C I t y
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OWNER/ CONTRA OR Appllcatl*on 'is herebV made to obtain a permito do the work and installat*ton asindicated .
certify that no woi-kr Installation hias commencedprior to the issuance of a permit.
s Lucie County+ makes no representation that is grantl-ng a permit w'M author'lzp the perm it holder to build the subject structure
Which i s io Coy I Ct with a ny a PP I ica b 1 le Ho m e O wn e rs Assoc i s l on rl u les, byl awsa n d cove n an ts that may resfri ct o r p roh l it s uc'h
structurp . Please. consult with i '
ion and review your deed for any restrictions Which nnay apply..,
in consideration of the granting of this requested permit., I do hereby agree that I will, in all respects, perform the work
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in accord-ante with the approved' plans, the Florida Building Codes and St. Lucie County Amendments- ,
kvil following building permit applications are- exempt from- undergoing a full concurrency review: room ' -
accessory r c r , sarirnmi g pools., fences, wa.115, signs, screen .rooms and accessorypother non-residential use
i�W i N OWNER: YOUR FAILURE TO RECORD A NOVICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR FROPE Y. A NOTICE Of COMMENCEMENT MUST BE RECORD AND
POSTED ON THE JOB SITE BEFORE ST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT
Wff YOUR LENDER REI YOUR NOTICE M M �
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Signature wn r Lessee/Contractor as Agent fAr 0'w" ner Signature of Contractor/LicenseHolder
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF
COUNTY
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The forgaing, instrument was acknowledged bei`ore, ril The forgoing 'Instrument was acknowledged before me
this :3 I
4- ..,� �., by
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MichaelHeissenbe.MV,",
Michael Heissenberg
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Name of person making ty Narne o'$ personi n.g. ,statement.
Personally Known OR Produced Identification Personaily Known OR Produced Identiffmication
Type of Identification Type} of Idi ii • �
Produced
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(Signature of Notary Public- St �
1j0 (Signature •� Notary Public- State of Flo
Shanon
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V I E W 15 FROND_ iZONING SUPERVIS0 R PLANSVEGETATION
SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW IEW REVIEW REVIEW REVIEW
_ter vv:x DATE
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RECEIVED
DATE
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COMPLETED
11, 11PT