HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAl! APPLICIWLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Planning n Development Services
Building n d Code Regulation Division
2300 Vir inia Avenue, Fort P erce FL 34982
Phone: ) -1 Fax: (772) 462-1578
PERM]
TYPE* Shutter
Permit Number:
Building Permit Application
Commercial Residential x
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-PROPOiED
IMPROVEMENT
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LOCATION'...:
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Address: 43 SOVEREIGN WAY
Property tag I a #: 1 41 d-701 -fla29-a00-5---�---------._.--.__._._...--- - -
Lot Nop
Site Plan a e: ---+- �: sT�---- - r---
Block No.
Project Wme: Beatty
Inst it 1
� _WORK
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rdion shutter
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CONSTRUCTION INFORMATION
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1II
Additiona
work to be
performed under this
permit
—check all that
apply:
MeOanical
Gas Tank
GasPiping
X Shutters
fle
Total Sq.
ri
t of Construction:
Plumbing
Sprinklers
Generator
5q. Ft. of First Floor:
Cost of n tru tion: Utilities: Sewer Septic
Windows/Doors
Roof
Pitch
Building Height:
FA
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Name Reba Beatty
Name- Michael Heissenberg
Add ressf43 Sovereign WAS a'. Expert Shutter Services
CRY. Hut inson IslandState: FL Address W WhitmoreWh'tmore Dr
Zip Co e : 34949 Fax; City: Port St. Lucie State ; F l-
Phone lo,-- Zip-- Code.
Fax:
E-Mail:
Fill in fie simple Title Hader on next page (if different
from the owner fisted above)
Phone No - 1 1
E-Malt p r ,t @ p rt hutt r. om
State or County License 172
It
value of
construction is
$2500 or
more, a RECORDED Notice of Commencement is required.
'it
value of
HVAC Is $7.,500
or more,,
a RECORDED Notice of Commencement is required.
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NFORMATIO
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DESIGNER/ ENGINE E R: Not Applicable MORTGAGE � No. Applit".dbl
to k TiApvc.
*� x
Address.
City4*k virgi
zip..
FEE SIM
Name:
._..___.---.-.---. ._.____..___._.__.___�___._.
` a Gardwis State,*, FL
Phone
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LE TITLE HOLDER,, Not Applicable
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Phone: Y
Address:RECEIVU0
C'0, M P L FT'
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- .�.f•t_�.�•�s�w•f;-r; �..=..,r,r�r�� t-•.,-rsv • ,l .lR-:w:wJw - — - - - OWNER/CONTRA OR AFFIDVIT'.Applicatlohereby made to iobtainl+the work and installation as indicated,
i (-ertffy# no work or installation has commenced prior to the issuance of a permit.
Stt LLICiE CD ink representation that i rant perrnit wig � authorize � permit holder o t the tt uctu re.
h i; i irl ct with any applicable140me Owners A5,socjation rules, bpi aws r covenants that may rests"prohibit such
yA�' r } C 11 It With Ur Honi Owners Association and r ' i � � may apply.
In cons'lder ,ion of the grarAingthis requecited permit,I do herebyagree that i will, inall respects, perform the work
in, accordanwith the approvpd plans,, the Florida Building Codes and St. Wbse County Amendments..
h e follows rig b uii i permit a p p II cati ons are mpt f rom un dergoing a fu II con c u rrency review: room ad d it-ionsl
accessory si,ructures, swimming pools, fences.# walls. sign, screen rooms and accessory uses to anot.h.er non-residential use
,AWRN
OWNER". YOUR FAILURE TO
RECORD A NOTICE OF
COMMENCEMENT MAY
RESULT IN YOUR PAYING'
TWIG
FOR
IMPROVEMENTS TO YOUR
PROPEB,. A NOTICE
OF COMMENCEMENT
MUST BE RECOR 0 AND
POSTE
WITH I
Signature
STATE
COUN
V ON THE JOB SITE BEFORES S T YOU INTEND I FINANCING, CONSULT
,OUR LENDER �. ORNEY)BEFORE RECORDING YOUR NOTICE Of CO NC-hMEN
t...r
MKj___ T
I}r N }
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{jb C}' ��If•r'
of Owner/ Lessee/Contra r Age
FLORID
ledeA 'ATE OF FLORIDA
OF '&-t% Lu . i
_+ A
COUNTY OF L
:rbya y of -------- 2QaL. by this �D day of 20
.trson m4lng state.fAnent. J Name ot -person making statement.
Known /
OR Produc:ed fdondficat*lon. Personally Known V/ OR Produced Identification
'Type <)f Identifi
Produced
vi ry v Lit r y r u u n iv,.- zaa 1v o a ignature of Notary Public- State of Flo UShea
t4OTPAY Fk)E'LCk0A ca
�Tp,-m OF FI-OR OTARY PURL10
n NO'. qW r I
rF
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
SEA
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FRONT ZONING U P �_'RVISO R PLANS VEGETATION MANGROVE
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