HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0
All APPLICABLE INFO IlriilST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X
FPERMIT TYPE: hutter —_- -- --
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!'kOPG2SEDINIPRUVEMENTtQ�ATION:I J
Address: 4801 Eagle [fir,
Pr rt Tax iD : 1312-801-0043-000,.3
Site Pia n Names
Project Name.- Rubino -- -- -
Lot N.
Block No.
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Additions! work to
be performed under this
permit
—check all
that apply:
—Mechanical
_Gas Tank
� Gas
Piping
X Shutters
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 27687.00
Sprinklers
Generator
Windows/Doors
Roof Pilch
q. Ft. of First Floor.0
Utilities: - - Sewer Septic Building Height:
N R LESSE E
N am e Anthony A Rubi'no
Address4801 Eagle Dr,
City+ PierceState,- FL
Zip Code:-34951- Fax:
Phone No. 7 -4 - 18
E-mail:
Fill in fee simple Title Holder on next page ( if different
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CONTRACTOR%
Name: Michael H i nb r
Company: Expert Stutter Services
ddr W Whitr r Dr
City. Port St. Lucie State: FL
Zip Code: 4 Fax:
Phone N-71-1�1
E-Hail permits@prthuttr.
rr rt uvt:l ,state or uounty License 1
valueIf
ntru i i
r
more .r a RECORDED Notice of Commencement is required'.
If value
of
HVAC *Is $7,500
or more,
a RECORDED Notice of Commencement is required.
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FEE SIMPLETITLE HOLDER:�.___.....+ NotApplicableBONDING COMPANY] iCable
Name:Name:
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OWNER/ CONTRA AFFIDVIT'w Application i's herebV made to obtainpermit ;
I certiffy that no work or installation has mme' ' ' ri r to tiie iL>,wance of a permit.
y # I .hat i r� l P; r I wi�i -n r i holder- build the subject structure
which is r con act with n • applicable Home Owners
it such
ruct u re-. Please consult with • u r F1 ame Owners Assoc Iron • � �
I Ions WhJchmay ply.,.
In consideration of the, granting -of this roue5ted���i �� i i do hereby r that I will, in all respects, porform the work
fn accordance with the approved plans, the Florid -,a uilig ..odes end St. Lucie County Amendments'.
The following building permitapplications are exempt from undergoing a full concurrency review.- room additions,
acce",':;Lsory structures, swimming pool$, fences, wolfs, signs.,screen rooms and accessory uses t n r non-residential use
�� W N OWNER YOUR FAILURE T RECORD NOTICE COMMENCEMENT MAY RESULT IN YOUR PAYINC
TWICE FOR IMPROVEMENTSPROPERTY. N0T1rQ;0E OF COMMENCEMENT MUST BE RECORDEDMID
POSTED ON THE JOB SITE BEFORE THEr FIRST INSPECTION, IF YOU INTIENID TO 0 AIN FINANCING CONSULT
WITH YOUR LENDER qft-.. -
r r
ORNEY)BE
���YOUR NOTICE r
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i Owner/ Lessee t � � e . ;rWa. iiY `T
..T � r Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The ar -i instrument was a l
this 16 day of Auq. 7 k
Aff— __021 ,ed bet -ore me
Michael Heissenberg
....... IN-P-WAVAW
Name of person making statement.
Personally Knower0R Produced Inii"on
}vpe of Identification
Produced
u
(sign a ture of Notary Pubiic- State of
Commission No, G.G258038
REVIEWS j FRONT
1 COUNTER
DATE
BECEIVED
Ds F
COMPLETED
v; 277/19'
1
ZONING
REVIEW
I
�,P# 0*". r
PuDL
�o
rOF nod
STATE OF FLORIDA
COUNTY OF { �
The fog oinginstrument way nowi before m
this d �ly .2o 21 by
Michael Heissenberg
Nam.e of person making statement.,
Personally Knwn %vl OR Produced Identificiation
Type of Identification
PrOdLlCed
(Signature of Notary Publi- State of Flor�d
ITP CA268038 Cormnssion No. GG258038
SUPERVISOR
REVIEW
— op. .660.b�dwg_ AM -6.&—
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VCOtIAl1UN
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SEA TURTLE
REVIEW
Sham O'Shea 1
N0TXRY PUBLIq
FTATE OF FLOP
CC. iDmmGG25 8018
MANGROVE
REVIEW