HomeMy WebLinkAboutCommercial St Lucie Count AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date*
Permit Number:
Building Permit Application
Plannin ;and Development Services
Building and Code Regulation Division
2300 Vie i is Avenue, Fort Pierce FL34-982
Phone: 772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Shutter
Commercial X Residential
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P RO P OS ED.
1-M -P ROV E M E N T
LO-CATI-0 N
Address: 0 N 3rd St
Legal Description; HILLSIDE SID LOT 16
Site PlanName:
Project N rye: Peregoy
Setbacks Front X _ Back: Right
Side: Left Side:
Lot No.
_.
Black No.
. ........... . . . . . . . . ! I . . .. . . . . . : "
DETAILED DESCRIPTION OF WORK:
. ..... ......
.... ...... ..... .. .. ....... .
Install 1
II shutter
xx
• r
;.
CONSTRUCTION-,1:NF0'RMAT1-0N'.
. . . .
. . . . . . .. ..
ti
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iditional work to 2 � orme under er this permit -check a app
JHVAC � Gas Tank lGas Piping � Shutters a Windows/Doors
Ele�Ctric � Plumbing :1Sprinklers � Generator � Rood I
Roof pitch
Total Sq. rt of Construction:
Cost of nstru cion: }434.00
of Fiat Floor: —'--
Utilities-.InSewer Septic
......... ....
}:::::::r:.:.: V :.
OWNED LE *.'.'.' '.:'.'..'.' :. . ..................
a me TiIse repo -
Add .1 2003 N Old Dixie Hwy
City: Fort Fierce State: FL
Zip Code: 34946
Phone N 772-466-3027
E-Mail
Fax:
Fill in
fe
simple
Title Holder on next page ( if different
from
the
owner
listed above)
Building Hight:
CTO
CO N-TRA. n
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Name: Michael Heiss nber
Company: Expert Shutter Services
Address: 668 5W Whitmore ❑r
City:
Fort Saint Lucie
Zip Cody,, 34984
Phone No. 72- 71-1 1
,1. Callexpert@aol.com
State or Jaunty License:
If value of construction is 00 or more, a RECORDED [notice of Commencement is required.
Fax.
state* F
772-871-0990
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r S U P P'L9--.M E N TA L CO N ST RUCT O N L.1 E N LAW'- IN FORM.� { :�� r {: r .:: ': •. :::
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DESIGN �R/ENGI NEER:, Not. Applicable
MORTGAGE COMPANY. Not Applicable
Narne-*
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Add re":3�i�sulmvs I Address:
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4 Oty:
C j t y,- R.Virgini Go ens
State:, FL Statef
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Phone."...zi P Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY. Not Applicable
� � ( (�, ; Name-, s
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Addresj: .... ...................... Address., ------ --
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City.
r_ ".yx. r•-ter tAiF City,
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OWNER/I CONTRA OAFFIDVIT: Applicat+on is hereby made to obtainpermit d the work and installation f�� i ted.
7
certify thfit no work orinstallation has commenced pr'lor to the issuance of a permit.
St ■ Lucie , makes tip representation that i grants Permit it tjz the permit hold iI theWectr��re,
Which i i niwith any appiicabje Home Owners Association rules, bylaws or and covenants that may Ict or prohibit such
structure} tease consult with y-our Ham Owners Association and review your deed for ur ri which may apply
In consideration of the granting of this requested pt_)rni it, 1 do het-het-eby agree that 1 will, in all. respects, perform the work
in actordanciewl*th the approved pla'hs, the, Florida Building Codes and St. Wcle County Amendments..
�T follow' building permit applications arieexempt frorn undergoing d full concurrency review.- room additions,
accessory • r • t ri i s , fences, walls., signs, screen rooms. and accessory uses to another non-residents i use
iiWARNMP TO OWNER:FAILURE RECORD A NOTICE OF COMMENCEMENTMAY RESULT IN YOUR PAYINC
TWIC9 FOR IMPROVEMENTS TO YOURPROPERTY,* A NOTICE OF COMMENCEMENT M13E RECORDED AND
POST JOB SITE BEFORE
IT OUR LENDER . fORNEY'
m:.. .. ..... .:. .._ .M1 ...... y!. ..v vv�T� Yi4++,+ii�.'-': q.v 4: •�n_v-:vn
igna u
f Owner/ Lessee/Contractor Rent 4 r r
STATE OF FLORIDA
COUNTY,
The r � trU was acknowledged � m
this' 13. day ofr 20 21
Michael Heissenberg
N�:ime of krson making statement T
erl w
i ii tit _.
Type of I P, rtification
PrOdUCej
OR Pro&ced Identification
(Signa Notary Public- State of
mis i n Not GG2580.
-11 - .. --- - --- -- — - — m — _." __#-y -%A - -0 - -Wko�
t4o-rARY
,q.T;,IS OP IFLORWID
Comm# GWSW3'1
go?.a02,
REVIEV S FRONT sZONING SUPERVISOR
h�.�•.�r wrx:nv_w_v(u.a+�COUNTER
•__•.S_. ._. ..._. ._.._.__�tt
DATE
REVIEW
RECEIVE
DATE
RST INSPECTION. W YOU INTEND TO OBTAIN FINANCING, CONSULT
FORE RECORDINC;YOUR NOTICE Of COM N/'
' � r
Signature of Contractor/LlcienseHolder
STATE OF FLORIDA
COUNTY OF �� 1_tzC'
The forgoing, instrument was acknowledgedbeforie me
this 1 d• October # 20 2 1 by
,r a.r ,—
-----------
Michael Heissenberg
�L■■j{�f+n'�T•-�vti'+f+C ._. __.�._`Y _ 1 __ it Yli ■ IY�I Ya/Yi�li�� � ...... .
Name of person making statement,
3
Personally Known., Y....OR Produced1 t1'1cab
'AST —Tt ,••••••• vvv v v-
Type of i tt", a
i
Prod uced
(•sign Notary Public- State of Ff orb,) S no(Shea
Commission No. GG2.58038
P1,ANS VEGETATION
REVIEW REVIEW
SEA TURTLE
REVIEW
NOTAFkY PUBLICi
Milo SATERIP
WComrn# GG2580jb
MANGROVE
REVIEW