HomeMy WebLinkAboutBuilding Permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
0 Virginia Avenue, Fort Pierce FL34-982
Phone: (772) 4 -1 Fax: (772) 462-1578
PERMIT TYPE: Shutter
PermitNumber.
Building Permit Applecat"on
Commercial
Residential X
77,
P RO-POSE D I M'P ROVE ME NT LO CATION . ... ...
Address: 7005 Willow Pine WAY
Property Tax ID #: 3322-621-d047-000-6 Lot No.
Site Plan Name: Block No.
Project Na : Marsland
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LED CI I }•.
t•tYry
Install 11 accordion shutters
CONSTRUCTION INFORMATION:
Additional work to
be performed under this
permit
--check a!I
that apply:
�Mechanical
_Gas Tank
� Gas
Piping
X Shutters Windows/Doors
Electric
Total Sq., Ft of Construction:
Plumbing
_5prinklers
Generator
. Ft. of First Floor:
Roof Pitch
Cost of Construction: 7a 1 . 0 Utilities: Sewer � Septic Building Height:
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Name Charles N Marsland LF EST)
Add
r Willow Pine WAY
it . Por. ...P.t St LucieState-. FL
'i Code: Fax:
Phone Not 617-513-349
E-Mail:
FBI! in fee simple Title Holder on next page ( if different
from the Owner fisted above)
Name: Michael Heissenberg
Company: Expert Shutter Services
Address; 668 SW Whitmore r
City: Fort t. Lucie tote: FL
i—..
i Code.: 34984 Fax:
Phone No 1 11
E-Mail permits c�r7expertshutters.com
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 RDE Notice of Commencement is required.
BONDING COMPANY-,6
Name#
Address:
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O
WNER/ CONTRACTOR AFFIDVITw ] i hereby made t obtain a I ' work and- installation asIndicated.
I cerdify that no work or installation has. commenced ri r to the issuance permitt
Not Applicable
sn-�:{m-r•�4�, 4: wa-w,+M-,�Mv�T�C{Rtr'�i'.T-^T^T' vR *�S.�P"+•} iT{t•TtiC3.3 - �i�Tti, _—_ y- -. }fC-}inter -
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SUPPLEMENTAL
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-------------- -------
:
DESIGNER/ENGINEER: N ot Ap p 1 *1 c-a b I e MORTGAGE COMPANY, Not Applicable
Narne: Tilie, Inc.
}
A...._ ...�.,.r, Name.'
1 Addr,ess: 05� NW 36th 81 Suge W5
Ad d ress:
2{+y}a+�_.���a,�.y+.-__.__._-.__._..._—.__.__._-.__.._.Y*4��5/ 5Hi/AI A�i 51i/�6iii ii A�Yi/IY/Af�S•r1iYiYi.YY iiYiiliiiYYY�Y}ijWlrjgQapj��.�gaF1Y_ •• �a �
City*
State: 01ty... state
• i-N+4T'Y•!^T`'''---`--1--------MCI--R
ZIP
* -4
Phone z* P P ho ne..
SEE SIMPLE TITLE HOLDER. = Not Applicable
Name:
Address:
! Lucie � � makes r o r i that is granting � �i ill authorize the permit holder o build the structure
wh i h. # . i n conflict with a n . app fica b 1 e H ome Ow n ersAssoc i ation rules, b y i aws cir a nd covie n ants that .may restrict o r p roh 1 bit such
structure.. Please. consult with your Horne Owners Association and review your deed for any restrictions which may apply.
in consideration of the granting this requestea per-rnit, I do hereby agree that I will, in all respects, perform the work
i or ,� wt [ the r plans, the, l r� iii1i �� � Lucie tAmendments,
The following building permit applications are
exempt front Um-going a full
concurrency review: room
additions,
accessory structures, swimming.poolsfences,
walls,,
signs, screen rooms and
accessory uses to another
non-residential use
"i'YARNINC its OWNER: YOUR FAILURE TO' RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR iPROYENTS T4 YOUR PROPE 'Y, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED Oi1i T"E JOB SITE BEFORE T�1 FlRST INSPECTION. IF YOU INTEND TO OBTAIN NC CONSULT
Wt'TH YOUR LENDfR . -� 1� ; U�'� EF0RE RECURt]111iG Yt)tJR NOTICE OF COflOAEN"MIENTP
lxe
Signature of C3vunerj Lessee/Con tractor as Agent fd
STATE OF FLORIDA
r Owner
COUNTY OF}
Th o f orgoi ng i nstr u m ent vva s a ck nowl e, dged be 'Ib re me
this 21 day of JL11Y1 by
yeNw�nsaaNcerava------- •--I-"-- •" f,.. . ... ..... . ... ... ... ... ................ . I . W a.a �.,-
Michael Heissenberg
Name of p rsor, making statement.
Personally Known R r I i
Type of Identiffication
Prod ured
-------------
Oignature of Notary Public-S t
r
Commission' No'. GG258038
FRONT
COUNTER
DATE
.RECI
DATE
&r�
4
ZONING
REVIEW
P1 9".0 . — - PUBLIC
S VxM or.
comro GG2W.38
ire's qM21202:
SUPERVISOR
REVIEW
d
� Sign'ature of Contractor/License Holder
STATE OF
OFLRIDA
COUNTY
- ..0
The forgoing instrument was, i. before me , 1 ' o 20 1 by
Michael Hirer
�aaNFl I�V�l7l1 ! !I5l� 1!l1+1•F1.5T�1•!•hl+ST'-M•Wi--"_.._.._. ._.._.._. .. .....
Name person making statement+
Personally KnownOR Produced Identification
'rype of Ini'fil
Prod
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(Signature of Notary Pubijc-State of Flo' O'Shea
No. NOTARY Pt�B�.tq
Corr�i3�issir�r�� a. - � TOTE Of FLOR'.
PLANS
REVIEW
VEGETATION
REVIEW
F
cio-mm# GG 80
SEA TURTLE MANGROVE
REVIEW REVIEW
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