HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D ate
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) -1 5 Fax: (772) 462-1578
PERMIT TYPE: Shutter
Permit Number:
Building Permit Application
Commercial Residential x
PRO -POSED IMP-,ROVE-MENT:-LOCAT-ION.:'''''
... .. .....
Address: $940 one Putt Pl.
Property Tax lD#.. 3334-500-0033-000-0
Site Plan Name:---- -��
Project Name: Porter
. .........
DETAILED DESCRIPTION OF'WORK'..:::
.. . ............
........ ..
Install 1 roil & 2 accordion shutters
Sfock No,
CONSTRUC LION
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Additional work to be
performed under this
permit
— cheek
all that apply:
.___Mechanical
� Gas Tank
_Gas
Piping
X Shutters Windows/Doors
Electric
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 6,148.00
_Sprinklers
Generator Roof Pitch
Sq. Ft. of First Floor:
UtiIities: Sewer Septic Building Height*
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CON T RACTO R:!'O'.
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Name James & Sandra Porter
Address: 8940 One Putt PI.
City. Port St. Lucre State: FL
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Phone No. 630-427-5023
Fax:
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City.. Port St, Lucie State: FL
Zip Code: 34984 Fax:
Phone No772-871-1915
F-M a i l PeFmits@expertshutters.com
State or County License 1
6572
If
value
of
construction is
or
more,, a RECORDED Notice of Commencement is required.
1f
value
of
HVAC is $7,500
or more,
a RECORDED Notice of Commencement is requir dO
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SiGNER/ENGINEER:DE NotApplicableMORI UAG COMPANY: Not Applicable
Name%
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i
Add re ; 5 Nw36th
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City-. Virginia Oardens.Sta te: r-L-
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Phone
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FEE SIMPLE TITLE HOLDER: Not Applicable
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Address;
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N a ry*
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Address.----------------------
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ZIP*- Phone...
BONbING COMPANY: Not Applicable
Address.
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asp: Phone;
��..:.�.�.�:� - ' +a�+o-r�.n..,.�.—•-.��_�a.+..,t+-�.�•,++�.4•�•.:'c�.r=.,:.__.�a._a=a..--�--�------...._.,w„rt„T. .,....._.._.......--�--.r,,,..r,,�.............�-�-��-��-��---...--------- -- OWNER/ CONTRA DOR AFFIDVIT: Application is hereby made to obtain 3 permit to do the work and installation as indicated.
1 certify that n o wo rk o r instal lati on has commenced ptlar to the. issua n ce of a permit..
. Lucie t � representation that i granting will authorize the rmi holder t. build the subjectstructure.
i h 'I's i conflict with lira bi e Hom e Owners Associru le s, byl aws or a ns cov enants that may res trictr propi b I t su ch
;trU CtLl re, Phase consult with •dour Home Owners Association and r 'ew your deed -for any restrictions which may apply*
onsid e ration r i ng o f Ith i s req ues to d perm it, I do h ereby'agree that f Wi 111 1 n a 11 res pads, perform the w r
in r with the approved pia , the l I � *l'* m m�.
-rhe following building permit 'applications are exempt from undergoing a full concurr'e'ncy review* room additions,
accessorystructures, swimming gooks, fences, wa-11s, signs., screen rooms anci accessory uses to another non-residential use
""ARNINC TO OWNER: iCOl.1R FAILURE TO RECORID A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPE 'Y. A NOTICE OFCOMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST iNSPEC"ii011t. IF YOU tNTEMd TO QBTAlN FINANCINC, CONSULT
►nt�'�H �'�tJR LENDER fl�°�°�!i . �t'i�RWE�f EFi'�RE RECORDING YOUR111E�'�C� _#]F C _M N?:
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'Signature of ter;. Wr
STATE OF FLORIDA
COUNTY OF `.'rh_ ILt.GP
The forgaing instrurnerrt was acknowledged befiore me
this 24_.. day of AL1gM-*_M_ , 2Q21by
Michael Heissenberg
Narre of person making to m ,
Personally Known � OR Produced nti i i +
1*ype of Identification
Produced.
•ar ��WyrY/ii.y�i .L. i. yiiyiy+Y.iii�._. ...fir.. ..a.a�t *,�a��..�. aaay..a._.:�. _.. ....
(Signature of Notary Pi/��lti£w Stt�'�e V� � � ��7�i�i�f�i�Y �,�C
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GG258038 §-TA-T� 01: F1.0RID;
Commission No. S
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REVIEWS FRON'T ZONING �UPERVISOR
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CC31JNIER REVIEW REVIEW
DAIT
RECEIVED
COMPLETED
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EW
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tf
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5ign, of Contractor/Licenise Holder
STATE OF FLORIDA
COUNTY OF ��_.1
The farg6ing'j'nstrurnent wws acknowledge before
.this
Michael Heissenberg
Name of person n iea k i ng statement
Personally Known v1 OR Produced dendratio r
IdentificatlLon
Produced
..........
(Signature of Notary -Public- State of Flo
Commission NQ. GG258a38
PLANS
REVIEW
- — ------------------ - - ------
VEGETATION � SEA TURTLE
REVIEW REVIEW
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