HomeMy WebLinkAboutBuilding Permit ApplicationAID APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date •
Plannind and Development Services
Building and Code Regulation Division
00 Vl'r!g in ict A ve n u e! Fo rt Pie rc e FL 34 -9 82
Permit u b r:
Building Permit Application
Phone: (772) -1 Fax: ) 462-1578 Commercial Residential X
PERMIT TYPE: Shutter
..........rt•{.t•,r•t }}k-0v �i � <f .t�,c:•,.,.v.t•ys}y�-F rxtr•�a. qYn n.}t�o.�•}�.'rr3.;pvnd:
.. .. •,Cs+ev. :v n%s-X,S•:hi+Cv•{}W-0{{}'r ... _}.: {•'}{}h{-0•}Y:.+D }*{•%nvn{v}'Z {s'42sv {�''Sti• .3�{•s. .. '
PROPOSEDMPROVEMENT' ;}r..tt•: }:'�• .�.}f]dxn]lf +�+]6�?. 97t•ot .,}n.,y..�.,ld.k kf�{.,
- C .� . : } : v4s ¢{•¢-0 s v } xf•fh rWD�C�O¢{JD nx %{y }V }{iA 3 }'{: iCv:n-0]+ ¢
Address: 7400 Laurels P1
Property Tax ID
Site Plan a:
Project Name: Buscema
----- Lot No.
•
}2..3 %}.n-0s+CvhnvnO+n •..iA� Lsxl v0{{}%i''i:{•}'{•• W�ti_.
O}x4- {•}{•u .•
..
DES
?�• •+C. %syst^%x_r-+C}%ih'•- +C• r{•: ri's
".
.' �{i-i3:� x�p
Install 1
ordion shutters
• _ s{_n... hs' fs}. sY4v. s_Cn}:_•Y: _ _ _ _ - ��'T'��+•F�
CONST
'' E`er`
� .�ATION
- . - :•}ins } 8Y•'}-vh Y�C ^"4 %4 X4� r { .k sknU4
. .. �{} vk
Additiona
work to
be performed under this
permit
— check
all that apply:
�Me
hanical
� Gas Tank
� Gas
Piping
X Shutters
Ele
Total 5q.
ri
of Construction:
Plumbing
Cost of Co struction: 151 . 0
Sprinklers
Generator
Windows/Doors
Roof � Pitch
q. Ft. of First Floor:
Utii Iiti e s: Sewer Septic Building He* h :
0WNE-AJLES-SEE':':::::'::: ::• ::.
i
Name ha rI Donna Buscema
Address: 7400 Laurels Pi
City: Port St Lucie
State: FL
Zip Cod F34986 Fax:
Phone N .772-618-0393
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
.CON
Nara : Michael Heissenberg
Expert Shuffer Services
Address: W Whitmore Dr
it : Port St. Lucie �L
State:
Zip Code: 34984
F.
Phone No 772-871-1915
E- a fl permits@expertshufters.com
State or County License 16572
If value of c n tru tion is $2500 or more, a RECORDED Itr�� �rr�����rt 'is required,
If value of V is$7,500 or more, a RECORDED Notice of Commencement is required,
..a_._ v+�,t-r•v+�o-Y•+•-•+TM-•-��.�ti-! v ::•::: �,<,�.+r+w. wY•. y-:x,�..v"^': �'�'„`�`+-�••x.t. ti•-,�hY a._ ... : , :
' `' `"y�.,ylP`: m•+c:-,-:-+r.,..av h f+,k,l..-,.-: x�.++�.rn.r.,+d�t'�t,. x,._,r: :,.war`r•M�
• - • +ti,+-+�h�.o-,. t-•.,. o--:�•w„ ti:x+o-o-•�r.4 4 i i H :.0 . . .
d�,,;,.�.,, - �-;.,,.,�v •-, �,.�.J ,•-w wx,r x,T..,l.._,I.ti aL �L�
WE M El"Y'T.-A L C ON
.......STRUCIION..'L.I.LN-:LAW'I,N'F-(-.).R'.M'ATi-ON'i.
ER/ENGINEER Not Aonlicabin
r,t:,.+L.ii�oi.HaNLa�Ofatii�..l...•..:+tir:.i�{ ......:......a.4^•-•r{..•�.,,u.u:.ai. .:a:._yy•v_vn_w_va.n•--:-:}.. ... -{ � --
v:...t..... .
_rAIV T NOt AppliCable-,I
Namei~ #'y
--- - ----- Name.,
Addresr..
}...... Y. x�. x�...._.._.._.._._.
��Y ! Y IY ! rY.h5.�...aaaa a•�iM.�yia.yy�_-.._.._. ...._. .....-.. ---i riy Address: kLr
C"ty"
livnia
�Y. v._.._.._.......,,� . Y m� State:City
�f av�s�_,.+s,s,..��r...... a,..
YmAN
ZIP: nP4 ;
WP.._._ � Y . �10-..i•i _.__._...
'"iN�'iMiW�i�HY��I'M'7-I-Y/li_.._._.._ ._!•_IV �11-li _••��aaati � -ran ra �n aua�
FEE Slr4PLE TITLE HOLDER., � Not Applicable BONDING�
COMPANY: Not Applicable
Name: �
Address:
city!
Z,lp:e
a•�v+�yu,.-11,yHlf�.,hnr.a �
9N�H4FrYF S'M* .
Name4,
Ad-dressi,
at
{
*1 P
Phoneb
• -., u,-YWyYMyy�llrJh,. .. ,• } .._. , � r.� .. 4-..�.. �r u r , �+4•.�N i^.+�T4•S'R�iFF+haitr�f•-viai•u•� �
OWNER CONTRACTOR AFFIDVIT: Application r bi'� der to obt-ainrm the work and installation as indicated.
I certify that no work or installation has commencedprior` to the i ancv, of a c r y
i
St. -tv
't
ui [ makes no representation that i grant'
4�? � �, a P rm' w'fII �3 �,J E 1� � � permit holder to build i
the subject structure
which i i coil act with any applicable# �� ) � Owners Association rules laws r and
that r ` -lper `r such
structure, lease, consult � y �J - Y : � 1 { hf �+I covenants mk,+l restrict S i..�i # G�.R 1 ,J1++
Ur 01 to Owners Assoc" ion and review ur, deed for any restrictions which
apply,
In icons 1 der'ation of the granting of this requested permit, I do herebythat I will in all
in accords T ce with the approved plans, the Florida Bufld7Mg Codes and St.. Lucie County Amend tsf
The follow ng buildingpermit A It a i are exe-.rnpt from Undergo rig l rr r i r: r
accessory.00m additions.0
- I ;)0 1 , races, wall
€. -residential
use
W NHY TO OWNER: YOUR FAILURE RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYiNG
Twict FOR IMPROVEMENTS TO YOUR PROPF.RTY, A NOTICE Of COMMENCEMENT
SAI) ON T"E J013 SITIE IRFMPF:
WITH
suppqi
DESIGN
* NU I WSJ IMU I AJ LM I ^IN PIRAIMILIN, CONSULT
!FORE RECORDING YOUR NOTICE Of com MENT.
Signatur of Own, er/ Lipsse.e/Con tractor
f
:
- Agent f mr Owner Signature of troy/License. Hlr
OUR LENDER
q•+�•7•�L BdL•ia—_Y•:�rryal vn
a v f' • ' � l xx-anx w
&A
STATE OF FLORIDA
C 0 U N TY 0 F
The forgoing instrument was acknowledged before rr€e
This 13 ,ay of .Sep#. , 2021 by
Michael Heissenberg
N afi-ie of riersonmaking statement.
Pe'rsona4, Known
OR ProdUCed Idenlif cat"
Produced
(Signatur
Com'missf
of Notary Public- State 0
N, G
STATE OF FLORIDA �
COUNTY OF ����?i_
The forgoing 1
nstrurnent was acknowledged before m
13 day Sept.
y.. a.._._.. •
Michael. Heisenberg
Name t- der making statement. }
Pe.rtonaljly Known _Y.Y.........ar�,:.0 - OR Produced Identification
7 i
ii-,-�of Identification7
Produced
1
zMffiffiMM*V4DN§t-.
4tW�;v i�
(-r a Public- State o i
N S r* s�
rTJ GG23 G
C MM# w.. v .t LL�...-------- e TATE OF FLORID
Q111 21202 1
UP, c mGG,5130
UVIEW30 FROW ZONING
1 1 SUPERV1Si,-)R
3
DATE
RECEIVED
4—
Ad T ....
COUNTER i REVIEW REVIEW
}
t
... ............ .._..,ter_•• --�--
ti'''r�
PLANS
REVIEW
VEGETATION
REVIEW
SEA TU RUE'
REVIEW
•:_,.:w+•..r..._.._ ems.: xv
S
MANGROVE
REVIEW