HomeMy WebLinkAboutBuilding Permit Application i
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All'APPLICABLE INFO MUST`BE COMPLETEdTORAPPLICATION TO BE ACCEPTED
D'ate. . Permit Number:��
fro"LC � 6U,lu�Jed
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Y15i'4W MCI, r' Building- Permit Application
Plonnrng'and DevelopmentServices a3N3
Building andCode Reg616tion Division Commercial Residential
2300 Virginia,-Avenue,Fort-Pierce'FL,34982'
Phone:'(772)462-1553 Fax`. (772)462-1578'
PERMIT APPLICATION FOR:
PROPOSED IMPRWEMENT:LOCATION:
Address: 6701 Little Way,Fort Pierce,FL 34951
Prope"rtyTax ID'#: 1301-607-0352-000-2 Lot No.5
SitePlan Name: BUILDING SHUTTER Block No. 85
Project Name: Mark A Campbell
QETAILED D$SCRIPTION:OF WORK
Install Hurricane Protection A-CCo .Q 1Y-%J 9 "y:D -1ZX FLIDW
13 r.-jPe to\J'a& S
New.Oectrical'Meter Second Electrical Meter (Aff.'idavit required.)
'CONSTRUCTION INFORMATION:
Additional worl(;td,be performed u'nddrthis p'ermit=chec.k all that apply:
_Mechanical: _Gas:Tank _Gas Piping Shutters _Windows/Doors _Pond-
_Electric —Plumbing _Sprinklers _Generator _Roof Pitch
TotaLSq..Ft bf Construction:'362.8 Sq. Ft. of First Floor:
Cost`ofConstruction $,7,454.01 utilities: _Sewer _Septic Building.Height:
OW ER/LESSEE: 'CONTRACTOR:
Name Mark A Campbell Name:Gregory N Ensling
Address: 6701 Little Way Company;Maximum Shutter Systems Inc
City: Fort Pierce State:FL Address:210 Old Dixie Hwy
-Zip Code: 34951 Fax: City: Vero Beach State FL
Phone;N6.732-768-5263 Zi"Code: 32962 Fax: 954-839-0037
E-;Mail'cptcampbel@aol.com -Phone No 954-839-0037
Fill in;fee s mple;.T tle.,,Holder.. .. page(if different E-Mail vero@maximumshutters.com
fromthe_Owner Ilsted. above) State or County License CRC1332907
If ,'alue.of construction is 2500;or more,,a RECORDED Notice.of`Commencement Ks equired..
-1f vi lue,of 1 AVC,is`$7,50D or more;a:IiECORD.ED Notice of Commencement is required.
Doc ID:fdde08lOfcf2bd7938a642c2la42ab2445a29539
5UPPLEMEN:I�AC CQN5TRU ION;tIENI 1NR RMATION
DESIGNER/ENGINEER:' Not A plleabk
p MORTGAGEC�MPANYi ``/,/ Not Applicable
T '
Name::: Nam"e
Ad'd'fe's_si Ad dress:
City State: City:. State:,
Zip:. Phone Zip; Phone:.
FEEVSIMPLETITLE.HOLDER': , Not;Applicable BONDING COMPANY: Not;AppaIcable:
Name:: Namei
Add ress: Address:
'City:' City:
Zip" . _ . . . _ . Phone; . p;OWNER/'CONTRACTOR AFFIDVIT Appllcafion Is herebymade,toobtaln a permltao do the work:a,nd installation:as_ Indicated,.
-certify that no.work.or instal]atioii.has-commenced prior to the:issuance`of a:perriiit.
St..Lune=Count'.makes-no-.representati`onahat is:gra nting a:perrnit;will,authorize-:thedpermit Bolder to b.u.ild the'su bject structu.re:`.
which Is in'con Ilct with'any applicable Home Owners;Assoclatlon.rules,:bylaws or an covenants that may restrict.or prohlblt,such
:structure.Please;consult,Nith your Home',Owners''Association and''review,yourdeed foran owhich may .`apply.t .
In consideraton ofthe granting of this;requested permlt,`I do here by agree thatl wllrnall respects,perform'the work
inaccordancewitH.the; pvdp terida`Buil8j'n'g-Cod6!and'-St:.LuciGunty:-Amendments.Fl The following building permit applicatlons''are exempt from undergoing a:full concurrency''.review:>room.addltlons;
acces`s6,y'struetures;,-swimming;pools;"fences,walls,sighs;screen rooms`antl:acce§sory.uses.to'another`non=residential`u`se
WARNING;TO OWNER Your failureto Recarda Notice of C6mmencement'may result in paying twice for
improvements toyour,property A Notice of Commencement niust.b( 'recorded irrthe public records'of'St:
Lucie County`andposted on thejobsite.before the':f'irst inspection .If`youu'intendao.obtaln°financing,consult
with lender oran:;attorne 'before corn men cin work or-recordin :. our Notice;of-,Commencement..
Signature of Owner/Lessee/Contractor-:as Agent`'for'O nrner
STATE OF FLORIDA�
COU.6i OF. Indian River /Wirie
Sworn:6jbr affi'r'med)and subscribedbefore ii a-of Physical Presence or_ Nota"rization
this , 0 yoQ ...
Name of"person making statement.-
Personally Known OR Produced Identif'cation'_
TYPe'ofl "Protluced:, _�
SI na ure UA tar Public State of Florida_) CAROLINE W.HARDENRERGH PERRY
{ g.• Y
cPa`Pis'%
zap ;Notary Public-State of Florida
Comm.ission'No...HH 109041 15teal) •= Commission # HH 109041
p� My Commission Expires
n°iw" March 24, 2025
'REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW` REVIEW REVIEW REVIEW REVIEW REVIEW,
DATE
RECEIVED:
,DATE'
COIVI PLETED;
ev,.
Doc ID:fdde0810fcf2bd7938a642c2la42ab2445a29539