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1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED tt
Date: �2- 2f o2 ( Permit Number: ��eL & J
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 I„LIR01tEIVIENTLOCATIC}',N
Address: 11000 S OCEAN DR 5-L
Legal Description: VILLA DEL SOL-CONDOMINIUM UNIT LAND UND SHARE IN COMMON ELEMENTS TRACT 5
Property Tax ID #: 4512-701-0076-000-9
Site Plan Name:
Project Name: Dellacorte
Setbacks Front Back: X
Install 2 accordion shutters
F_1HVAC
11 Electric
Right Side: Left Side:
❑ Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 3,332.00
IVII Shutters
0 Generator
S Ft. of First Floor: _
Utilities:Sewer Septic
Name Joseph, Gloria & Robert Dellacorte
Address: 19 Hazel Ct
City: Shelton State: CT
Zip Code: 06484 Fax:
Phone No. 203-520-4507
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
i
Lot No._
Block No.
aWindows/Doors
F]Roof Roof pitch
Building Height:
Name: Michael Heissenberg
Company: Expert Shutter Services
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State. FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail: Callexpert@aol.com
State or County License: 16572
If value of construction is $2506 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: Tilteco Inc.
Name:
Address: 6355 NW 36th St Suite 305
Address:
;City: Virginia Gardens State: FL
City: State:
'Zip: 33166 Phone:
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 intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Signature of Owner/Lessee/Contractor as A t for Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
The f oing instrt� �gg^_t was acknowledged before me
this day of YJ)AJVV 20 D by
Michael Heissenb&g
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GG958999
TOMI)O'Brien
NOTARY PUBLIC
s
Signature of Cont actor/License Holder
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this day of 20 _�A/ by
Michael Heissenberg
(Name of person acknowledging)
SAO
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GG956999 a�vgss 181lgj)O'Brien
NOTARY PUBLIC
Comm# GG958999 Comm# GG958999
Revised 07/15/2014 .d4li 141d Expires 2/17/2024 s�2cr 101s Expires 2/17/2624
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