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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:"k�d�"d3S� RECEIVED Building Permit Application APR 13 2021 Planning and Development Services Building and Code Regulation Division P.;?rmittirg Department 2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie county Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential PERMIT APPLICATION FOR: Shutter C1Pi S1=D} Ii�lflF�?�UEM� Address: 7400 S'OCEAN DR 202 Legal Description: SAND DOLLAR VILLAS CONDOMINIUM E-UNIT 202 AND UND PRO-RATA SHAREIN COMMON ELEMENTS Property Tax ID#: 3522-606-0005-000-7 Lot No. Site Plan Name: Block No. Project Name: Litz Setbacks Front X Back: Right Side: Left Side: ON D I LE-D3 3 I1 l ? I U1lC�? s .r - Install 2 accordion shutters y1111A1,1 1 4" Additional work to e e orme un ert ispermit—c ec a apply: E1HVAC Gas Tank Gas Piping Shutters Windows/Doors Electric 0 Plumbing Sprinklers ❑Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 844.00 Utilities:Sewer E]Septic Building Height: �JINNER;IL�S � �CQNTR1 �U lga ew..rc �" .. ;= z Name Richard Litz Name: Michael Heissenberg Address:27291 N Owens Rd. Company: Expert Shutter Services City: Mundelein State:IL Address: 668 SW Whitmore Dr Zip Code: 60060 Fax: City: Port Saint Lucie State:FL Phone No.224-805-0387 Zip Code: 34984 Fax: 772-871-0990 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. S fax71 ya�+'�§c'mx�a A5 �'fF' E11lIENTALCC7NST : '�� 111/ 1� 3M1T©� g ' 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 recordingour Notice of Commencement. /, �e� Signature of Owner/Lessee/Contractor gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St.Lucie COUNTY OF St.Lucie The fo!�oing instr ment was acknowledged before me. The forgoing instrument was acknowledged before me this�day of 1 20 .`by this-9, day of 20 V by Michael Heissenb&g Michael Heissenberg (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known x OR Produced Identification Personally Known X OR Produced Identification Type of Identification.Produced Type of Identification Produced INRygs Taylor O'Brien Commission No. GG9569-99 �=, so� fiARYPUBLIC Commission No. GG958999 (Seal) it =!STATF OF FLORIDA SpRYgs Taylor O'Brien �!i: � so NOTARY PUBLIC S�tcE�0�a Expires 2/17/2024 -STATE OF FLORIDA Revised 07/15/2014Comm#GG958999 4-4misiF-` REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS