HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
0 V r inio Avenue, Fort Pierce FL 34982
Phone: (772) 4 -1 Fax: (772) 462-1578
PERMIT TYPE: Shutter
Permit Number:
Building Permit Application
PROPOSED I MPROVENIENT LOCATI-O.N.:
Address: 14099 Cancun Ave
Commercial Residential x
Property Tax ID f 1- 1--- ---� -
Site Plan Name: --
Project a : Socha
7'C 0 N 5 T R U CT 10 N, 1'N F OR M AT. 10 N.
Lot No.
Block No.
Additional wank to
be per -formed under this
permit
—check all
that apply:
_Mechanical
� Gas Tank
Gas
Piping
X Shutters Windows/Doors
Electric
_Plumbing
Total Sq. Ft of Construction:
Cost of Construction: 1,01 7.00
Sprinklers
Generator
Roof Pitch
q . Ft. of First Floor:
Utilities: Sewer Septic Building Weight:
OWNER/LESSEE:
N am a John Martin Socha
Address. 14099 Cancun Ave
City: Fort Pierce State: FL
i Code. 34951 p Fax:
Phone No. 586-703-8743
E-Mail:
Fili in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Michael Heisenberg
Company: Expert Shutter Service
Address: 668 SW Whitmore Dr
City.- Port St. Lucie State,* FL
Zip Code: 34984 Fax*
Phone No 77 - 71-191
E - M i I p rm its@exile its h utters . o rn
State or County License 16572
If
value
of
construction i
500 or
more, a RECORDED Notice of Commencement is required.
If
value
of
HVAC is $7,500
or more,
a RECORDED Notice of Commencement is required;
i
F
SUPPLEMENTAL.CON$TRUCTION UmEmNmmmmmLAV41 IN
DESIGN ER/ENG [NEER: _Not Applicable TMORTGAGE COMPANY: Not Applicablem
Narne*
Uleco. I
I Address, 6356 NW 36thSl Suie 305
CY
y: iirini inrd 01 ns State4 R
z iplo 351fl'ia
Phone
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FEE SIMPLE TITLE HOLDER: Not Applicable
- - :r.-i _i....... .i. .._. ... �1 1----Iw-..l._....l.._..-1--"-1 P'1-1.l...i�YLMWialfl��iu�•
Addressa,
City--r�-r�11�Y-'Y-�4fi �fltilFi�F'-tiiitY•. •-•��. � •a i�ia`uLva•
zipa Phone*
Name:
Address:
01, i State* `
Z1* Phone.
BON -DING COMPANY,.. Not Applicable
Name:
Address
City. a�
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zip r .._.._- Phone,,
L,
OW N ER/ CONTRACTOR AF F I DVIT, Ap p I f cation 1 s hereby made, to obtain a pe rrn it to doth e workand 1'nstal lati indicated:
I certify that no�vork at, installation has comme. nced prior to the issuance of a permit.
. Ha i ij m• repress rotation that i grand rig permit wi11 f ri the rmi , holder b I I the subject tru r
wh i f) i in coti fist with any. applicable Home Owners-Assuciation rules, bylaws or and covenants that may restr*or prohibit such
structure,. i f ai l with your Horne Owners Assoclaflon and review your deed for any restrictions •lch M-ay apply,
In consideration of the gronting of thisrequestea permit, f do hereby agree that I will, 'in all respects, perform the work
in accoroancewith the appt,ovecj plans, the H rich Building Codes and art. Lucie County Amendments.
The if wing -building permit applications are exempt from undergoing a full concurrency review: room ifti ,
acres spry .structu res, l' mJng pool s., fen ces, w l Is., si gn s.. screen roo nis a n d a ccesso ry u se to a p oth er no n-res i d ent*ll- use
"WARNING
TO O"NER: YOUR IFAiLURE TO
RECORD A NOTICE OF
COMMENCEMENT MAY
RESULT
IN YOUR PAYING
TWICE
FOR IMPROVEMENTS "1"O
YOUR
PPE Y. A NOTICE
[3F COMMENCEMENT
MUST RE
RECORDED AMID
POSTED
W11rH YOUR LMDIER
.......... ~.... ~...... ,..._....... �.. rr
F
SITE EF' ' THAaTORNEY28EFORE
FIRST I S�PEON. • YOU INTEND � I ANC G4 CONSULT
RECORDING YOUR NOTICE OF Cow MEND.
•i4H7#lFy -- —_ a iaa -
U r. ri
Sri'
{F r
I.
Signature of Owner/ Lessee/Contractor asAgent fr 0urner
STATE OF FLORIDA
COUNTY OF_;D±,
The forgoing instrument was acknowledged before m e
this 21 day of JUIY- -) 2 o. 2 1 by
Michael Heissenberg
Nanie of personmaking statement,
Personally Known OR Produced Iden Vfcation
,..*....�._:._._._::.
Type of Identification
Produced
r 5 F
(Signature of Notary Public- State ofgv
Commission No. GG258038
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
............... ?.-
Rv� /771T
FRONT
COUNTER
M or. FL<)Fk10-
iq
9MV201
ZONING {SUPERVISOR
REVIEW ; REVIEW
Si.gnature of Contractor/Ljcensi�- Holder
STATE OF FLORIDA
CO U NTY of
The forgoing instrument was acknowledged before rye
this 21 day of JUG.2o 21 by
Michael Heissenberg
Name of person making t,.
Personally Known .1..;.� _.._.._.._:YOR Produced Id'entificait"an
Type of lnil•i
Produced
r �
DWI I M+M��I �151h .l5 �lV....�JLl�._�{�.I-••_••-••l—Y,if•--•--•-•�••-•••••
' I�I�FF�ilw� t
(Signaturief Notary f'j- State of Flor' �no aShea
NoTARY PUBLIO
Commisslori No GG258038
TATE OF FLORID
i
Crnm# GG2580JB 60
._.,..... 6
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PLANS VEGETATION. :SEA TU MANGROVE
REVIEW REVIEW REVIEW REVIEW'
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