HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Perm *lt
Planning and Development Services
Building and Code Regulation Division
0 Vlr lnib Avenue, Fort Pierce FL #
-982
Phone : 772 ) 462 - 1553 Fax . (772 ) 462- 1578 Commercial Residential X
11RM T TYPE : Shutter
- PROPOSED
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Property 'rax ID #: 3426-703-0126-000-4 Lot 1 .
Site Plan ame .- Block. No.
Project Name : Paoni
DE-TAI LE D D ESCRIPTI O N � � . . . . . . . {. }:•
Install cordion shutters
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CONST .UCTION INFORMATION
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Add it i na work to be performed under this permit — check all that apply.
Mechanical Gas Tank Gas Piping X Shutters
Electric Plu rnbi Sprinklers� � Generator � Roof Pitch
Total Sq . Ft of Construction *
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. Ft . of First Floor:
Cost of Coi s t ru ct i o n $ 91881 00 Utilities : Sewer Septic Building Height ,,-
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CONTRACTOR'
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Name Claudia Paonessian J Burk Name : Michael Hinkr
ddress . Company: Expert Shutter Services
City .. Port Saint Lucie
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FL Address : 668 SW Whitmore Dr
Zip Code . 34952 . Cityk Port St. Lucie State : FL
Phone. N w - 141 Zip Code : 34984 t
E-Mail : _
PhoneNo 7 - 1 1 1
Hill in fee simple Title Molder on next a if different ■ permits rt hutt r + om
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from the Owner listed above)
State or County L icense 16572
If value of construction i 0 or more, a RECORDED RDED Notice of Commencement is required.
If value of VAC is $7.,500 or more., a RECORDED Notice of Commencement is required,
-MENTAL .-CON" RUCTI-b ''
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DESIG , ER/ENGINEER :
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MORTGAGE COMPANY; Not App
Name :
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FEE SIMPLE TITLE'. HOLDER ., Not Applicable
BONDING COMPANY., i able
Name. --�w v:wJv n.v._.+�n+�a�a..�..t_x_N +v�una .. ....,na•+vu.'+�ti�..Own Name,,
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OWNER/ CONTRACTOR AFFIDVIT:
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}rk -0/F7R•�1-F�-�aay.a.a n_�.�a.a - - .a..__,v,vn• -a�'+�{+Yr�.aLin
ication is hereby
made r i indicated ,
I certify that no work or installation has comet r' r Lo the issuiance of a i
} Lucie C untV .makes represen igrant-Ing � � �� � �` � ywN ' y . + i the permit holder build the subject structure
i and applicable. Home r iaf i rules, bylaws or and covenants that may restrict or prohibit
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review your deed for any restrictions which may appiy.
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iconsiderationl the r t f this requested Perm IL I ier • •agreethat I will,
i accord ; . with the approved l , the l r Builds Codes and St. Luc' e County Amendrnont5.
- ' follow building permitapplicationsare exempt from. undergoing full o rr + rev* i
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accessory r c r , wi i, ) I ,, walls, signs, screen rooms and access uses to � ��' �- ' .. �
Iuse
'"WI OWNER* YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWIC FOR IMPROVEMENTS TO YOUR PROPE Y.
S SITE T IRS INSPECTION. YOU I ND TO OBTAIN "NANCINC* CONSULT
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gnature of owner rtr 4i Owner . nature of Contractor License. Holder
STATE F FLORIDA STATE OF FLORIDA
COUNT OF COUNTY OF
The forgo ne, ' r15tfL11nP_T1t was acknowledged before- me. The forgoing instrument was acknowledged before me
thts _J6 )y0f Sept
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f) day of
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Michae Heissenberci
MiChael Heissenberg
*Name of lerson �i inp, st �qprnent, Name of person making statement.
Per'sonall Known
OR Produced Identification r-ersonally Ktvwn OR Produced Idenfification
of T i fil t a i oni i:rype of . •.FOL4 •_�:rx, _ _
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(Si_gnaturE of Nt ry P u b 1; w State ..,� . :
PUBLICSOTARY nature of Notary Public- State of Rod
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DATEPMPAPON A.
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