HomeMy WebLinkAboutBuilding Permit ApplicationAll APPUCABLE IINFO MUST SE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
PermFt Number:
�...�T. - Building Permit Application
f'+o tying and Development Services
u fdrng and Cade Reguiarion D vfs�nn Commercial Residential
2300 Viryinia Avenue, Fort Fierce FE 34982
Phone: (772) 462-1553 Fax, (772) 462-1578 CBDG I=L nding
PERM ITAPPLICATION FOR, Hurricane Shutters
R0POSE DAM PRQVEMFNT LOCATION:
Address: 6131 Arlington Way
Property Tax 1D #: 1312-601-0098-000-
Lot No. 163
Site Plan Name: Block No.
Project Name: MOW90nlerY
D R, IP.T.IC IG F WORK.
Install 11 accordion shutters -�'-
+V� v,- FlectricaI Meter _ Second Electrical Meter Affidavit required)
-'--DNSTRUCTION INFORMATION,
Additional work to be performed under this permit —check all that apply:
_ echanimcal _ Gas Ta nk _ Gas Piping X Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction;
Cost of Construction: s 6. 3 11-00
OWN
Narne Howard Monrgorriery & Giseia rwMonbgom"-Starrier
Address: 6131 Arlington 1 av
Generator
Sq. Ft. of First Floor,
Utilities
city,: Fort Pierce State:FL
Zip Code: 34951 Fax:
Phone rho- E-
mail:
Fill in fee simple Title Holder on nerct page (if different
from the <)wner listed above)
WirrdowS/Doors Pond
— Roof Pitch
' _ Sewer _ Septic Building Height:
CO TRACTOIR::
Name:-Miehael HeissenoXq�� �
cornpany: Expert Shutter Services
Address: 668 SW V1lhOno re Drive
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax:
Phone No77-871-1915
E-Mail Permits expertShL'ttersX0M
State or County Lic7enseA16572
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required,
r# value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
IAW
0E$iGWV&AEER. Not Applitab;e t MORTGAGE COMPANY- Notka,:
Name, Nm-,�=
Address, $36Emw mr. Si w!
--------------
rjty,- VN*mC-VVvr. 5, ate: F1 City- stato-
Zip: mm- Zip.- T. Phcme-.
F Ef Si M PLE TITLE KOLDE R,
Not Apokable t BONDING COMPANY, Not Apphi,-ablt-
Nam:
Address- mftsiT�__ 4
— ---------------- --- --------------
Ap, Phone: pholle.
DWNER/ CONTRACTOR AFROVIT. Aooc"w yr hereav mad* is okgm,� perfn; t to ar, the work ana trL-'tj;I:mmm as mdiciak&d
Lem fy Vit ne work of cm—r-eew-ed pr, 3, in the isummCe af;o pumi t.
A, Lucy jLml[m nom69 41 AAAntLn�# pefre�t OV &W.,
09A�cS'crwampe=dCA0 VMer%5r m p4rk;uch
m efsS
may apu4y-
IM CONSWeTaWA Of the g.-AntTV W OiS Mjkp� led p*rMk I do MUQW allM tins! I w* in aSj revem, perturm ttye WQ?*
aCardancf apprayed P�RM' 11-te �- C da & A-dW4 C06m.&nd St. LmdeC.aunty AAvndrnefr�_
hn.
taU'16N pen-w� jjpc�hcaoons are eKmm fmrr mtdmong. ak +4 mKu-mrxvrepr�*w: nx3.m addWi6m,
.
a(;rev4vy'i*rll cturps, swimWrdng ponds. f 0?Am. wak" &qn.l. 50rwn roams and 30DM so?v ims to another non re-0defltiad use
WARNING TO OWNER, Ymw f2flure to Record a N"ce of Comrnefveinerit wfay result in payiN tw" for
V ro VeMe FtEs to you 4- prmpen y. A N&A ice of CUM rntmCL4merlt mg 6_- recoi-&d in tri� pub* records of St,
t urie County and posted 00 the jobL54e before t he fir st in spm�OnL If you inte nd to obtain fdVaCkV. Consult
wiN t"er Ora?) attWnev b0fW0cWqnvmrjng wank or-retairding your Not" of Cam.
Sign aki tA Of OVLxtf/ LgLseft/COFTbrO.O& i nt fDr Cw"_ r
STATE OF FLORIDA
COUNTY Of _Si LU.W
$mwn to (w 4pffimwd } and 5u&w+ bW �*fnre me of Avm" of Namrizatimw
thk 1.0 day M 2022.in
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STATE OF F LORI 9A
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DAT�
HFCEIVED
DAn
COMPLETED
Rev 5120121