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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3--5 "Q Permit Number: n
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
Address: 2711 N Highway A1A #H
Legal Description: CORAL COVE BEACH -SECTION ONE- BLK 7 N 16.66 FT OF S 74.56 FT OF LOT 4 AND E 10 FT OF VAC ALLEY ADJ ON W (APT 2711-H)
Property Tax ID #: 1425-701-0167-190-6
Site Plan Name: Najem
_Project Name: Najem
Setbacks Front X Back: X
Right Side:
Installation of 3 Accordion & 1 Roll Shutter
aanional worK to De errormea unaer tins permit— cl
11HVAC _ Gas Tank Gas Piping
11 Electric ❑ Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ $2,664.00
Name Rita Najem
Address: 626 NE 4th CT
Left Sider
all apply:
�_ Shutters
❑ Generator
S Ft. of First Floor:
Utilities: Sewer ❑ Septic
City: Hallandale Beach State: FL
Zip Code: 33009 Fax:
Phone No. 305-766-6784
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Lot No.4
Block No. 7
❑ Windows/Doors
Roof
Name: Michael Heissenberg
Building Height:
Roof pitch
Company: Expert Shutter Services
Address: 688 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
it value of construction is SZ500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: Tilteco Inc.
Address: 6365 NW 36th St Suite 305
City: Virginia Gardens
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State: FL
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
X Not Applicable
State:
Not Applicable
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 our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as A for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF St. Lucia
STATE OF FLORIDA
COUNTY OF St. Lucie
Theo going instr Tte t �y cknowledge before me The for oing instrum n was acknowledged before me
this � day of V 20by this day of 20 2L by
Michael Heissenb,4g I Michael Heissenberg
(Name of person acknowledging) I (Name of person acknowledging)
`YCJ
(Signature of Notary Public- State of Florida) (Signature of Nota ublic- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
((�� otaRYAs Taylor O'Brien Q
Commission No.. "�"l OOTARY PUBLIC Commission No. 1� "� ao1NRYq�,(SP�!}lor O'Brien
+STATE OF FLORIDA �Q�g NOTARY PUBLIC
S�Nc��' Expires 2/17/2024 Comm# GG958999
Revised 07/15/2014 NCE �e�Expires 2/17/2024
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS