HomeMy WebLinkAboutcorrected Application (2)AEI APPl1qABlE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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'J 1 71
Planning
Building
0 Virc
Phone:
PERMI
:tnd Development Services
fnd Code Regulation Division
10Avenue , Fort Pe rce FL 34982
772) -1 5 Fax: ) 462-1578
PROPU
Address: Hidalgo Ln
Property TaxlDi#.- 3426-500-0588-000-7
Site Plan Name. -
Project N rye: Schubert
Building Permit Application
Commercial Residential X
Lot No.
Block No.
-13ETA ID
DF.S.
I L CRIPTION
OF--WORKA
Install 1 ill panes shutter
<CONSTIRUCTION
Additional
Mec
Ele
Total Sq. F
%INFORMATIO
work to
be performed under this
permit
—check
all that apply:
hanical
_Gas Tank
_Gas
Piping
X Shutters
rile Plum bi -- Sprinklers
f Co n st ctio.
Cost of Cohstruction. 5 534.00 Utilities:
FOWNE • - � /LESSEE.::
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�;• - ..;�.1._.•�.............. . ' . : . • ; . .. : : .. • . .l . Sip'! t : : : - •'
Name m1rilyn Diane WilliamsKorea Jean Schubert
Address:
City: Poi
Zip Cod(
Rhone N
E-Mail:
Hidalgo Ln
State: FL
F:
). -1
599
Saint Lucie
Fill in feel simple Title Holder on next page (if different
from the owner listed above)
Generator
q. Ft. of First Floor. -
Windows/Doors
Roof Pitch
Serer Septic Building Height:
CON TRACTOR:'>
... y •y tivr �}: •. •. r:••
.1 .may•••
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
fit - Port t. Lucie State: FL
i octet 34984 Fax:
Phone No 7 -- 1-f1 1
E-- I a i l permits@expertshufters.com
State or County License 16572
If
value
of
c stru tion i
500 or
more a RECORDED Notice of Commencement is required.
If
value
VAC i 7, 00
or more f
a RECORDED Notice of Commencementis required.
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::SUPPLEMENTAL C"01-N-5-TRUCTION LIEN LAW INFORMATION-., :.::. :.:.•.:.: :.r.::'::r::: :'.'....'.. ; ;
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DESIGN R/ENGINEER. Not Applicable
MORTGAGE COMPANY. Not Applicable
Nar-ne: V uMG }
Name
Add rest s tsu#-D 305 Address:
City: State City
t
I ZIP0
4
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FEE SIM E TITLE HOLDER. Not Applicable
Nanie
AddreSs',
cfty'
�vrY'-+..^T4F Mr,.-sr.+r+rT��ri�F-a��W: Waa a-aa�a Ana.._ _�__._'.`_` _ .. +aaa.++.aaa4�Y�-•4r �-e-
P h o n
Zipk
tea_ i t+W+.F +�.....S.F..F9.t9^F...Y..iHiW #F%+-4,8rt�A.�F{�a•----�.._. _.._.. ..... .. ... .
BONDING COMPANY,, _Not Applicable
Address.
City,
Zip Phone..
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OWNER/ CONTRACTOR application is hereby made to obtain a permit to do the work and nstallation;ndicated.
I certify thqt no woi-k or Installation hw, commenced 601_ tO the 1 LI Permit;
. Lucie a representation that i grand permit wl �� �� holder build � structure
which 1 Oil i with any ii i Homer i i �� rules, bylaw r and covenants that may restrict r prod bit
structure, n su I with your H om Owners Associatio n and revi our deed for a n y restrictia ns which may apply,
In con s1 d e r tion of the grand ng of this permit, I do h erebyagree that, I wi11, *1 n all respects, perform the work
i r with the r plans, the Florida Build l Codes and St. Lucie County Am en d r .
•�N fl 'wi
ildin r it i i r
f turn undergoing full
urr n review. room
it'
accessoryr,
swi mi-Tiin v, P ooi s, f ences.#
wa I Is, ign %, zsicr rooms an d
accessory use s
to a pother
n onresi dentia I use.
IVARN OWNED! 'YOUR FAILURE TO RECORD A NOTWE OF COMMEN(: MAY RESUILT IN FOUR PAYING
DICE , FOR IMPROV TO YOUR PROPE Y. A NOTICEMNMBE RECORD AND
P OS THE JOB SITE BEFORE T -FIRST INSPECTION., INTEND FINANCING, CONSULT
. • OUR ND�� 1
ti...w
¢f.
pV2
F
t
Signature
STATE
COUN
-f fir/ Le-ti-see/Contractor ar, Agent
F FLORIDA
OF
—
r Owner
The forg-oinginstrument wa.s acknowledgecit'r rne.
this 1.3. _ �Jay of Sept. 1 by
Michael Heissenberg
Name of personEi l rig statement.
Personally Known .. _. OR ProducedIdentification ..,..
~hype of Id ntifici-)tion
�Iroduced
+ . .......................
(Signaturd'o(Notary Publi - t�ito
m i i8n No,
DAl'E
RECEIV.E'
—DATE
� COMPLE
�'-6-vum
I
pllco" . PUBLIC
HOTAR
jpjr-, OF
GG
r" C� ki A 2f 2P2 2:
j
Signature, of Contractor/Llcensp. Holder
t
STATE OF FLORIDA
C 0 U NTY 0 F , i -1 1 (") i'L-)
The
forgoing
instrument was
acknowledged
before m
this
13 day
of Sept.._..............._._.._.._.._....................�#
20 21
by
Michael Heissenberg
Name of personmaking statement.
LIro I a Known Produced Identification
y� �-....
Type of Identification'
Produced
t +
1
i t r f Notary Tl i- State l r�3 �st*
Commission No.
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M I !)UVLRV1S0R PLANS VEGETATIONSEA TURTLE
ICOUNTER REVIEW REVIEWREVIEW RFVIEW REVIEW
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NOTARY PUIAL16
I_qTA-m OF LOR11)
REVIEW