HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FAR APPLICATION TO BE ACCEPTED
Date:
.r�
MEL
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 TYPE: Shutter
Permit Number:
Building Permit Application
Commercial Residential X
PROPOSED IMPROVE:M'ENT.L�CATIQN: {..
Address: 12803 Admiral St
Property : ax ID 2421-802-0041 -000-0
Site Plan e: _
Project Name: Moore
Lot No.
Block No.
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DETAIE.DDESCRIPTION F WORD* :. :.:. :{
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Install rya Shutters
F_'
CONSTRUCTION
INFORMATION;
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Additionall work to be performed under this permit — check all that apply:
�i'VEe�hanica! _Gas Tonic T Gas Piping X Shutters Windows/Doors
Efe
Total Sq.
ri
t of Construction".
Plumbing
Cost of Construction: $ 51561.00
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Generator Roof
q. Ft. of First Floor:
Utilities: Sewer , Septic Building Height:
OWNE LS& ... .. ..
Name Connie & Jeffrey Moore
Address: 2803 Admiral St
City, Fork Pierce State: FL.
Zip Code: 34982 Fax;
Phone No. 772-708-8428
E- ail
Fill in
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simple
Title Holder an next
page ( if different
from
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Owner
listed above]
Pitch
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'Yo{'YCONTRACTOR
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rne: Michael H iss nb r
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City.. Fort St. Lucie State: FL
Zip Cade: 34984
Phone Na 772`$71-1915
Fax:
EY M a l permits@expertshutters.com
State or County License 1- ---- -
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 Notice of Commencement is required,,
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SUPPLEMENTAL:�
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DESIGNi,ER/ENG [NEE ,. Nomty t f
cable
Name-.t Y Name -
Ad
m1v 36tht suite 305 Ad d re!;
City -
zip, M
Pho� Zip* - _---_-- - Phone.
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FIEES1HOLDER. Not Applicable
Name.
Addresi;.*
C I t y
z It
P Phone 4
BONDING COMPANY.,.
Name..
Address
C its
z1 - - - Phone}
_Not Applicable
0 W N E R CONTRACTOR AF F1 DV Aic'i o n is herby rn ad P. to obta[ n a Pe rml t to d o the work and 1'nsta 11 at*10n as Ind r;t P d.
I Certify t n workr installation h commenced r' r t the issuance I.
Swt. Lucie makes r r . nt i t t i Brantf' g permit '11Ioieth e rmi holder build the ru r
.i i ' j.t WI any lira � Owners Association rules, w r covenants that may restrict r prohibit such
structure. Please consult with your Horne Owners As5ociation and review your deed for any restrictions which may appty.
i ide ationh granting of this requested permit, I do hereby agree that I will,, in all respects, perform the. Work
fn accordance with the approved clans, the Florid4-), Build'Ing Codes and St. Lucie County Amendments.
The following bul'iding perhiftapplications are exempt -o m undergoinga tull cn orr rev*i+ + room additions,
accessory str u ct u res, swimmi ng pbo 1 # f e n ces, wa I I st sign s., screen roo ms an d acres so ry uses -to a pother non-residentia I use
"WARNI TO OWNER: YOUR FAIWRE TO RECORD A NOTICE OF COMMENCEMENT MAY RESIJLT IN YOUR PAYING
TWICf FOR IMPROVNTS TO YOUR PROPE Y. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB •fflE BEFORE TH
WITS: YOUR LENDER CWAN AUORNEY,2
Y
f
FIRS' INSPECTION* IF YOU INTEND TO OBTAIN FINA14,CINC, CONSULT
AFORE CORDING YOUR NOTICE MUEWEMN`iP
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it Owner/ Lessee/Contractor as�V
stare
COUN"
F FLORIDA
OF
The
forg
l sl - tI-L11
1 �T1 twas
acknowledged
before me.
th*s
30�
day �.
Aug.....,..._.
20, 21-
Michael Heissenberg
Name of person making statement,
Produced 1t'11t+1
Type •ii#ti
Produced
N
e of Natal Public- State of
Commission .GG
-NEW-w"+{�ti -
DATE
RECEIVE
DATE
COMPLE
evT.
S IFRONT
GaUN'TER
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ZONING
REVIFW
§,TP�Te Of fLOIR0�
S GG25806
gli2aoz
St)PERVISOR
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Signature Contractor $ Holder
STATE OF FLORIDA
COUNTY OF
h forgot ng i n strut was a c k nowt before me
t *Is 30 arty of Aug. 20 21 by
Michael Helssenberg
Ni-'am.e ofperson makl'ne statement.
Personally Known V1091 OR ProducedIdentification
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Type I iffi
Produced
(Signatu-Tre. of Notary Pubi$'c- State. of
Commission No.. GG258038
I.- NS VEGETATION SEA T U R• -L
REVIEW REVIEW REVIEW
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