HomeMy WebLinkAboutApplicationAl APPLICABLE INFO MUST RE CCMPLETED FOR APPLICATI0N TO BE ACCEPTED
Date: Permit Number:
T, LLB LL
Building Permit Application
Plonning and DeveOpment Services
quitdingand Code RegerfationDivision Commercial Residential X
2300 Wrginia Avenue, Fort Fierce FE 34982 — -
Phone: (772) 462-1553 Fax:1772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR; Hurricane Shutters
PROPOSED IMPRO EMFNT LO ATION: - --
Address: 167 NE Jardain Rd
Property Tax Ib #: _ 3419-565-005 -000-O Lot No- 16
Site Plan Narne: Black 14o, 78
Project Name- Seeley
-- — -
DETA�L,� EST# 0F�WORK:
- — -- I
Install 4 Bahama shutters
New Electrical Meter Second Electrical Meter (Affidavit required)
OtTRUCTIOV IIFO IIV�AT{01 y. '':sr• %
Additional work to be perfarrned tinder this permit —check all that apply:
—Mechanical _ Gas Tank _ Gas Piping X shutters � Windows/Doors _ Pond
_Electric _ Plum Bing Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft, of First Floor:
Cost of Construction: $ 2.394.00 Utilities: _ Sewer _ septic Building Height. - -
.7;�11.. CONTRACTOR: _
Name Ronald & Lucinda Seeley Name: Mich ael--heisseribem
Address: 167 NE Jardain Fed Company: - Expert Shutter Services
City: Port St Lucie state: FL Address: 66 8 SW VVhitrrtote Drive
Zip Code: 34983 Fax: City: Port Saint Lucie State: I=L R
Phone No, 77-971-4151 E- Zip Cade: 34984 Fax:
Mail: Phone No772-871-1915
Fill in tee simple Title Holder on next page �if different E-mail permits@expertsbutters,com —
from the Owner Iisted above) State or County License 16572
If value of construstIon is 2500 or more, a RECORDED Notice of C0mmentement is required. If value of HAVC is $7,500 0r more, a RECORDED Notice of Commencement is required.
--------------- ------ ... ....
Z-�:5000 66,6TAOCTION UENIAW INFORMAMOW::.-
VE SIGN ERIENGINEER: Not Appiic_ab; MORTGAGE COMPANY, Not Appkabte
Name., Name-.
Addrew gwlkftA Addm5,,
city, — - — ----- — ------ — State- city,.
zip, Phofie Z;D'. G 31 Ft.'
FEE SIMPLE TITLE HOLDER. = Net Apokabij? SONDIN6 COMPANY, Not Applicable
Name:
zip,. Phone-
Marne-,
Phorv_* -
... - ----- -
OWNER/ CONTRACtOR AJFFJ 0M, A�pp.wavon is be s&I)v rmad# w abrtaiek a 0"'t to Ckn are w0wic sna inst-Aationa S indicated.
r E-nify that no work or j-1 S1 a4azz. w. -as co-,-r-mimced po; o, 4v the iswwum of a vermit
fit lade C*untv nu&es "'w tKit is x
=pgrrtt t vlA V0.06AWr4 the Mr -rut *r d bLQ. the Su
Aart 0ruLtu
r @whim 00111 =MW7UJEM, hyMC�'CWrWM PFP6*ibiz wth
;mature. ftamt 917Y00 HomemmmrrLdr"yar &0far any qmV= whkh ffwy 2PPOV.
'n cw%sidep�n 0 the gr'w';0R of LM& raqufttmd perrN14 I -do Eby aum that I ", 11, AQ respws' PaewrrL Ohe w*?*
-A am, daerce Anth Me apprawWam. the Florida 80aft Cc4k% me St. Lucie Ca;jsvLV Ame&.6ypents
km io:lotking D.WkW% pvr"� anvitaftwi& ve exerw froer. wxhkrgNn8 a juk -tvIew: fwzn a6&;vr�s.
-K ':KM$S*FV StfVCtVrT$' VW4Myn'nK P005- knCCS. -OM� -L. 5q' re Bonn a -to acQ�.s i Cr� usft t 0 andtp*e �JD' -f esw' 1: al Uw
WARN I NG TO CWNE Ft. Yom r faq wre za R�cord a Notice of Com mvxem4ertt n7aV mmutt in payj ng rwicq jw
a -rn PrOvemef�tS to your PrDpert V. A NWice of Com menti�!ff wnt rn u st be reco; ded In the pubk reca rd-5 of 5 t.
Ludt' CountV and Posted on the �bsJtie bef are the Wst it, spection. if you I Mend W obtain finaixing. ton5v It
wjip fender or an =qf_pgy _b�6K k�, r9mmend*2 work 'w rt-cor dim vwT Notice of ca M Meocement.
skmalum 6F Owlim-/ tk3seeicantjt"'Aaertt 'or 0% net
STATE OF FLORIDA
COUNTYOF 5{ 4--k
SW*en *0 j Cw ati if nl 6-nd MY65pibm before ffke Ckj Pf%vsk* Rrewwv or
thr5jp, dayni 20-4- by
VA';'.n
h arne of oel'lw
PMOUN X"CVFP A OR Pro&Ced JdLMff,"tXM
Type Pf kkniffirwbon Pmduwd _..
of mv�-rN Fol ic - State of Mra)
Cornrn,Won No. f5ev}
Rf VgEWS I FWRT I WNM
CwkTfR RVIEW
OvNOTARY PUBLIC
STATE OF FLQR4DA
Expir"gilZ2022
'SUPER V609 PLA16 VEGETATION
REVIEW REMEW Rcvftw
SEA TURTLE A&ANGRCWE
REVIEW ftEvEw