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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATIQN
Address: 9950 S Ocean Dr Apt 703
Legal Description: MIRAMAR ROYALE UNIT 703
Property Tax ID#: 4502-703-0029-000-0 Lot No.
Site Plan Name: Carole A Hauke Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESiCRIPTION OF WORK..
Install 1 Accordion Shutter
CONSTRUCTION INFORMATION
Additional work to a er orme under this permit—check a apply:
11HVAC Ei Gas Tank Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 7171.00 Utilities:n Sewer O Septic Building Height: 160'
OWNER/LESSEE � CONTRACTOR .:
Name Carole A Hauke Name: Michael Heissenberg
Address:9950 S Ocean Dr Apt 703 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore
Zip Code: 34957 Fax: City: Port St Lucie State: FL
Phone No.772-229-0141 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: callexpert@aol.com
from the Owner listed above) State or County License: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUpP.LEMENTALCONSTRUCTLON LIEN LAIN INFORMATION%:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: walterTillit Name:
Address:6355 NW 36th St Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you int nd to obtain financing, consult with lende r an attorney before
commencing work-m-i;pgording yoVfNotice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Hol r
STATE OF FLORIDA / STATE OF FLORIDA u Ci n
�C.COUNTY OF (� i-Q COUNTY OF J-t`
The fSToing instrument was acknowledged before me The forgoing instrument was/acknowledged before me
this day of If rC, k 201-1 by this L:�t_day of-I , ` f�,I/1 20 ? by
Michael Heisse4g Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
C�4�
2V) qj/rV�
(Signature of Notary P blic-State of I a) (Signature of Notary Pu Ic-State of F
Personally Known OR Produced Identification Personally Known d OR Produced Identification
Type of Identification Produced Type of Identification Produced
(' f?Y HEATHER VI77 HEATHER \i O
Commission N r ����� � �$ �d j Commission No. 1' �U (S d s� NOTARY Pul IC
� ?�NOTARY PUBLIC r
STATE OF FLORIDA ;r ='STATE OF F. RIDA
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Revised 07/15/2014 E 9 Expires 11/13/2018 Expires 11/" /2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS