HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO F UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number :
� � F
COUNTY
Bui' ld *ing Per "it
Appl "ication
Plonnf'ng and Development Services
Building and Code Regulation Division
2300 it i fa Avenue, Fort Pierce FL34-982
Phone : 772 ) -- Fax ; 462- 1578 Commercial Residential x
PERMIT TYPE : Shutter
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% PR S E D I M P ROVEM E NT ' LO CAT 10 N'* .... . . . . .
.. . . . . . . . . ... .. . . .
Address . 154 SE Calmoso ter -
Lot No ,
P r art ID .
Site Plan Name : Block No . 64
Project Naas : Pisani _ - - ---'
DE TAI D DESCRI PTION. : : :' :: . . . . . .. . .
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. . . . . . . . . . .
. . . . . . . . . .
Install fccordion shutters
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CONSTRUCTION INFORMATION .'
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Additional work to be per-formed under this permit - check all that apply:
M chanical Gas Tank Gas Piping X Shutters Windows/Doors
Electric Plumbing � Sprinklers � Generator � Roof Pitch
Total Sq. Ft of Construction : Sq . Ft . of First Floor :
Cost of nstru tion : 050dOO Utilities : � Sewer Septic Building Height :
OW : . .
NER/ LESSEE : . . . . � � �� .. { { }
Name Andrew Karen Pisani Narne , Michael Heisenberg
Add res 154 SE Calmoso Dr Company*; Expert Shutter Services
City - P rt St Lucas t t F L_ d r W Whitmorer
Code:Zip 34983 Fax. it Port St. Lucie State : FL
Phone o , 7 - 1 - Code : 34984 Fa
E- Mail * Phone No 772-871 - 1915
Fill in a 'Im le Title Holder on next page if different E- a i I permits@expertshutters.com
from t a Owner listed above State or County License 16572
If value 0 constrUCtion i 0 or more, a RECORDED Notice of Commencement is required.
If value of H 'is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL 'CON'STRUCrION. . . . LIEN. LAW INFORMATION
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DESIG4ERANGINEER : Not ApplicableMORTGAGE COMPANY4 Not Applicable
Name* T Item. jr Namet'
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FEE SIMPLE TITLE HOLDER: Not, livable BONDING COMPANY4 Not Applicable
Name -, Name
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OWNER/ CONTRACTOR AFFIE)VIT',' Application i hereby made. to obtainpermit to do the work and installation as 1*ndlcated .
certify th t no work or instidlation has commienced prior to the Issuance of a permit{
. Lucie Cruntmakes no representation that is granting a permit wiI I authorizethe permit holder to build the subfect structure
wh is h is in con I i ct wi th a ny applicabl e l )e Own ers Associ att • r u les, byl awsr a nd cov enants th at may re.str!I'ct o r prop i bit such
Structure. Pleiase consult with your Home Owners Association and review your deed for any restrictions which may apply,
In considetationthe granting of this teouestedpermit, I -do hereby agree that I will, in li respects, perform the work
in accordance wi-t_h the r plans, the, Florida BuildingCodes and St. Lu'de CountyAmendments.
The following building Pe rM j t appllcaticmsire exempt froim undergoing a full concurrency review: room additions,
access Structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
-AVRN"4C TO OWNEWYOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENTRESULT IN YOUR PAYING
TWICIE FOR IMPROY NTS TO YOUR PROPE Y-o A NOTICE Of COMMENCEMENT MUST BE RECORDED AND
POSIED N THE JOB SITE BEFORE TH FIRST INSPECTION. IF YOU INT ID TO OBTAIN FINANCING? CONSULT
.._.__._....
WITH EN ' FORE RECORDINGYOU NOTICE, '
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r owner/ Lessee/Contractor Agentk. Contractor/License Holder
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STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF �
COUNTY
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The t r instrument was wl �ore me The r i instrument was acknowledged -be-fore rye
t h t IS day of 2 Oj� b y this day of _S20 by
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Na person making �• � t, r .
Personal y Known OR Produced Identification Personally Known v� OR Produced Iti -iin
Type of I entification Type of Identification
Produce
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(Signatu e of Notary Public- State qt. PiJLAB ri c)f Not State pf Flo aSheallov0l
i i i NOTARY PUBLIC
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on No W26W36 Commission No e TATE OF FL
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REVIEWS FRONT ZONING ' SUP VIS,, OR KANS VEGETATION SEA TURTLE MANGROVE
COUNTER s REVIEW REVIEW V � � RENEW MEW
DATE
RECEIV D
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