HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
w
PiGnoing ond Development Services
Building and Code Regulation DiWsion
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: -1 Fax: (772) 462-1578
j PERMIT TYPE
: Shutter
ME
POSED IMPROVEMENTIOCATIO N4h
Address.- 10656 Pine Cone Ln
Building Permit Application
Commercial Residential x
Property Tax ID #: 2 1- 1- 1 --
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Site Plan Name
Block No.
Project Name: Williamson
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DETAILEDDES-C •W :..}.:}v}::. {. ,..: _ ixv {...{:{. } .n $}xY ¢Yxi • { x} f {. f: }.t {' {fi
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Install 3 accordion shutters
Additional work to
be per -formed under this
permit
—check
all that apply:
�Mechanical
� Gas Tank
_Gas
Piping
X Shutters
Electric Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction-, } .00
Generator
Sq. fit. of First Floor:
Utilities :
OWNE-R/LESSEE'
}..
Name Jason Wdliamson
Address: 10656 Pine Core Ln
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No.772-216-6475
E-M it i
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
Windows/Doors
--Roof Pitch
'Sewer Septic Buildin Hei ht:
ONTRACTO R'.
ry - wvvice... n{ l�:v• •i
Name: Michael Heissenberg
Company: Expert Shutter Services
s. 668 SW Whitmore Dr
Addres .
City. Port St. Lucie . FL
State,
Zip Code: 34984 Fax:
Phone No 772-871-1915
E-Mail permits@expertshutters.com
State or County License 16572
If value of corn struct'lore i$2500 or more, a RECORDED Notice of Commencement rat is required.
If value of HVACIs $7,500 or more., a RECORDED Notice of Commencement *is required,
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DESIGN ERIENGIN EER,- MMYrI�diih�4 6�1
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SUP,PtE MENTAL CON S-T-R.U(.`.'T10.N_. L`
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MORTGAGE COMPANY: Not Appl�cable
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d :63 W3 1 fifa 305'
Cjty,- 'Int, art State. FL
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FEE SIMPLE TITLE HOLDER., Not Applicable
Name --
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P
Phone.
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Address,
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* City* State#
z I P Phone
BONDING COMPANY., Not Applicable
Name:
Address-,
City:.
zip,d hone
OWN ER/cation is hereby ai Permit the work and installati* t CONTRACTOR AFFIDVIT',O. on as indicated}
i certhat ;i o work installation has commenced prior to the i LIia n Ce of a pe rmit.
St . Lucie Cou ntyconflict
representation that *j ipermitilI authorize the r isUbject
which is In . applicable HomeOwners i t" rules, laws o and covenants t 'm restrict or Prohibit such.
,
s i i and review ya or deed for an y restrictions which may a P
In consideration 0A the grant'Ingthis requested pcirmit, I do hereby agree that I will, in all ..
rk
i n accord ante wifth th e a p p rove. d t>ia ns, th e F I] d a B ui I d 1 ng Codes a n a'&. Lu de Cou nty A m e n
The followingwilding permit applications are
M r U �n 1i
rr �
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add'i � ,
accessory structures, swimming pool$, fences.
wall signs, screen rooms anO
accessory uses to another
non-residential use
"WNIC TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINC
TWICE FOR IMPROVSS TO YOUR PROPEPTY. A NOTICE 01F COMMENCEMENT MUST - B.F. RECORDED AND
OS JOB SITIE 13EFORE TH -FIRST INSPECT100i. IF YOU O M TO AINI
Wff"FORE RECORDING YOUR N
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5ign'tui2 4f Owner/ Lessee/Con tractor as Agent f4F OwneI`
STATE OF FLORIDA
COUNTY OF
The forving fnstrumer�t was acknowledgedb��`i�re me
this 21 day of �luiy 2021 by
Michael Heisenberg
................... ..
Name of person making statement,
i OR Produced Ident,fication
Type of Identification
Produced
I
--Np -------- - owe
{Signature of Notary Public- State ref a PUBLIC
CoMMission No. GG.258038
REVIEWS
DATE
REUIVED
DATE
COMPLETED
FRONT
COUNTER
14
ZONING
REVIEW
2
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Signature, of Contractor/License Holder
STATE OF FLORIDA
CO U NTY dF�"
The forgoing Instrument was acknowledged before me
tis?l ._ day of Jul 2fl 2.1 by
Michael Heissenberg
Name of person ming staternent,
r tly K �� Produced I I) 1
ape of Iiii
Produced
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�Signature f Notary Public- -Stag j
1 M8
NOTARY PUBLI
1'
Corn mission*GG258038
e 'TATE OF FLOR D
C C
omm# GG6800
PLANS (VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
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