HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.
Permit Number:
Building Permit Appl*catlon
Planning and Development Services
Buiiding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) -1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPEI'
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-10 CATI ON'.
POSED IMPROVEM
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Address L 1031 Bradley St.
Property Tax ID 3402-608-0280-000-5 Lot N o,
Site Plan Name.* Bloch No.
Project Name: Hoffman
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DETAILED DE
...........
Install 5 accordion shutters
CONSTRUCTION INFORMATION:
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Additional work to be
per armed under this
permit
-- check all
that apply:
Mechanical
_Gas Tank
Gas
Piping
X 5hutters Windows/Doors
Electric
Total Sq. Ft of Construction:
Plumbing
Sprinklers
Generator
q. Ft. of First Floor:
Roof Pitch
Cost of Construction: , 1.00 Utilities: .� � Sewer Septic Building Height:
hit:
.:-OW N E R/LESS E E. ...... . . . . ..... .. .. . .. .. ....... ...
CONTRACTOR',.
Name David Wayne Hoffman Name.- Michael Heissenberg
Address: 1031 Bradley St. Company: Expert Shutter Services
fit : FortPierceState: FL Address; 668 SW Whitmore Dr
Zip Code: 34982 Fax: it Pont St. Lucie State: FL
Rhone No. 772-489-9027
E-Mali:
Fill in fee simple Tale Holder on next page ( if different
from the Owner listed above)
Zip Cody., 34984 Fax:
Phone No 772-871-191
E-Mail permits@expertshutters.com
State or County License 16572
If
value
of
construction i
5 0 or
more., a RECORDED Notice of Commencement is required.
If
value
of
HVAC is $7.,500
or more.,
a RECORDED Notice of Commencement is required.
"ATION.'
SUPPLEMENTALCONSTRUCTIO
N
LIENIAW.
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� DESIGNERIENGINEEW. Not Applicable � MOftT6AGE COMPANY: _Not Applicable
Name;- - TOWt-A). Inc.
Address: 6 w P-
C' 't y Virginia ."Iens Sta'te-: L
Z I Y 3,1166 Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name :
Address:
City,:
ZIP y Phone
Ir
.................
Addres,sid
........... ------- P-P-M
- - �� - -- -
City., s ate
Zip: Phone).,_
BONDING COMPANY:
_Not Applicable
Name
Address:
1 t y5
•may N���r.tirar�ir�r��r. __.�_.__.__.__.__.__.____.__ � -. .. . .
SIP: Phony,
OWNER/ CONTRACTOR AFFIDVIT*. Applictation is hereby made to obtainpermit to do the work and installation as indicated.
n t h at n work r i l I i h as m n r"or •t the i �� Eir ir t.
. Lucie County makes no representation that is granting a permitwHI authorize the pernist holder to build the subjectstructurelt t
f F ■ � Y i �
which �� i i con n with any applicable Home wn r i t rules, bylaws r and t r improhl I
structure. 1 consult with . ur Horne n rc, Association and review your deed for an-y restrictions which may apply}
In consideration of the granting of this requesited permit, I do hereby agree that I will,, i # all respects, perform the w i'
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
'Rie following budding permit applications are exempt from under'i l'$ rr r i : mornadditions,
r structures, swimming pools, , walls, signs, screen rooms accessory uses t anot her non -re. ruse
ttN OWNER: YOUR FAILURE TO REM A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE IFOR IMPROV ENTS TO. YOUR ROOF COMMENCEMENT MUST RECORDED AND
POSTED ON THE JOB SITE BEFORE THE
'�VJRST INSPECTION. IF YOU I END TO 0 AINKCI, CONSULT
WITH V13UR LEER, ORNEYAMFORE RECRDC YOUR NOTICE OF COMMENC.-VAEPaIV
r F-
ignature of r Lessee/Contractor as Agent fir Owner
STATE OF FLORIDA
C 0 U N T Y 0 F L;
The
forgainginstrument
was
wi gd
be'."'ore. m
this
20 day
ear-��
of JU1Y
SF1^WFl4^4FYi{:ri
+ r 2 1
:?�-?rrie•.ii 70fM�v -rwvnw
by
Michael Heisenberg
Name of person makmg statement,
Personaliv Know x . OR Produced Identifirat"Ilon,
Type of Identification
ProdUced-
(Signature of Notary Public- State a
Commission No. GG258038
REVIEWS
FRONT i
COUNTER G
ZONING
REVIEW
T
Of
GG258039
C� #4P3
SUPERVISOR
REVIEW
¢0.
53enat�€re of t��rtr�ct�ar/i.ic��s� �����r
,STATE OF FLORIDA
I COUNTY OF
I -SA -L-LL(i
The forgo"Inginstrument was acknowledged before me
this n��jfrF of Jul i 20 21 by
+ ay Y._._..__.._.._.._.._...__'--'-"--'--•--•---v�e•'��ae-.+--.+`+4+a�+F �W4+F#FFIFFv
Michael Heisenberg
Name of person making' state mentt
Personally Known OR ProducedIdentifiration.�� -- ..._....
Type of,Inil.i+
Produced
ir�e of Notary Public- State of Floc' + snoash"
NARY PUBLIC,
CommissionNot
FLORID GG258038
A A A N#X'`' � ;r