HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Deveiopment Services
Building and Code Regulation Division
0 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) R1 Fax: (772) 462-1578
11CD�AIT NDC.
Permit Number;
Building Permit Application
Commercial Residential x
F. rX @,:%
Huber
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PROPOSED IMPROVEMENT LOCATION,,
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Address: 9417 Scarborough Ct
Property Tax !D #: 3322-507-0031-000-0
Site Plan Name:
P • t N F C h b
Lot No.
Block No.
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DETAILED DESCRIPTION OF-WO.R.K.':
Install ordion shutters
Additional work to be performed under this permit — check all that apply:
Mechanical
Elec#ric
Total Sq. Ft of Construction:
Gas Tank
Plumbing
Cost of Construction: .
00
Gas Piping
Sprinklers
Utilities:
—77"
OWNER/LESSEE:
... .... ....
Name La I It & Poo na rn Chaube
Address: 9417 Scarborough Ct
t : Port St Lucie State: FL
Zip Code.9 34985
Fax:
Phone No. 772-595-5$79
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
X Shutters
Generator
q . Ft. of First Floor.9
Windows/Doors
Roof Pitch
Sewer � Septic Building Height:
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CONT-RACTOR.'. ::.......
::.... :
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Name: Ihel H'lber
Company.• Expert Shutter Services
- 668 SW Whitmore Dr
Address.
City: Port St. Lucie
Zip Code: 34984 Fax:
Phone No 772-871-1915
E- 1 a i t permits@expertshutters.com
State or County License 1
6572
If
value
of
construction is
$2500 or
more., a RECORDED Notice of Commencement is required.
If
value
of
HVAC'ls $7,500
or more.,
a RECORDEDNotice of Commencement is required.
Stater FL
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SUP PLEM ENTALCO'NSTRUCTIONLI EN W INFORMATION'"''.
DESIGNER/E NG I NEER. Not Applicable FhMORTGAGE COMPANY:
Name- T01Pw. )rw,.
re s s } 6355 NW 36th 81 Sinn 30
I irgi isardens
I..
Stated"
* P 311 1 66 Phone
FEE SIMPLE TITLE. HOLDER: Not Applicable
Name:
Address*
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Name.,
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Address:
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City, State: {
ZIP _r r� - Phone:
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BONDING COMPANY r_- Not Applicable
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OWNER/ CONTRA OR AFFIDVIT,-, Application is hereby made to obtain a permit the work and installat -i i .,
I i that no work r installation has commenced prior to the issuance of a permit.,
. Lucie Coo +m r r Cation t i tI Permiti l I t ri r i l der -to i I the t r u r
which. i i con �c. with any applicable Home Owners il' rulesbylaws, r and that may restrict prohibit such
. r t . lea consult with your r� Owners Associate revs � your deed for any restrictions which may apply:,
n con t � � granting this �permit, � � � agree � �11, i lrespects, perform work
i n -accordance with the a p p rove plans, the F I o re d a But id i ng Code and S + Lucie County Amendments.
'The following building permit applications are exempt front Undergoing a lull n rr review: roofn additions,
accessory structures, swirnming pools, fences., walls, ign , screen rooms and accer uses to another non-residential use
W I OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
WILE FOR IMPROV ENTS TO YOUR PROPE -d A NOTICE OF COMMENCEMENTMUST BE RECORD AND
POSTED ON THE JOB SITE BEFORE TH FIRST INSPECTION. IF YOU I TO OBTAIN FINANCING, CONSULT
WITH . ORNEY EFORE RECORDING YOUR NOTICE �
•� ¢ 1 }• r � ��rf
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Signature per/ Les- � r� tor, e Age . r O-Lvvner
STATE OF FLORIDA
COUNTY OP Sh. Luc.%(:�,
Sieature of Contra ctorJl»icem5e Halter
STATE OF FLORIDA
COUNTY OF �4 .1_il0
The, forgoing instrument was acknowledged before me Theforgoing instrument was acknowledged before me
* Au-q.
-day 21 1.) -a.r+z�•uaa.rof
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YFyr'f.Y w-n
2o by
Michael Hirer
Michael Heissenberg
AW",
Narre of personmaking statement, Name 4l' Person making statement.
Personally Known OR ProducedIdentification �- ._....._...u�,_ Personally Knows ProducedIdentification
Type Identification . f Identification
ProducedProduced
(Signature of Notary Public'- State
-a
Commission No. GG258038
PATE
DATE ._.�.
COMPLETED
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(Si Notary Public- State of Hod
F. � §-TA-1 Commission No. GG258038
FROM- NKSUPLRVISOR
COUNTER REVIEW REVIEw
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VEGETATION
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SEA TURTLE
REVIEW
� NOTARY PU8LI
IM10TATE OF FLO Rit
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* Comm# GG25W48
MANGROVE
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