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ALL APPLICABLE FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number, v
at;; r �,�iM� DECEIVED
Building Permit Application APR 3 0 1011
Planning and Development Services Pwmittlag Department
Building and Code Regulation Division St. Lucie CourrtY
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
i?ROPOSED II`l[ARQUEMENTLOCATIfl:N . `. . . N . _.,
Address: 5055 N Highway A1A#C 706
Legal Description: BRYN MAWR OCEAN TOWERS BUILDING C UNIT 706
Property Tax ID#: 1414-601-0144-000-0 Lot No.
Site Plan Name: Seidenberg Block No. C
Project Name: Seidenberg
Setbacks Front X Back: X Right Side: Left Side:
f--4
D 'AlLE0DE5CRIPTIC3N t ,11VORK
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Install 3 Accordion Shutters
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Additional work to a er orme under this permit—c ec a apply:
11HVAC Ei Gas Tank Gas Piping ry)Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 0 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ $13,435.00 Utilities:'n Sewer[]Septic Building Height:
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O1NI�FER/LI=SS k , � V CONTRACTOR '4', � �����
n .., ..._ - ,,._,,..�.. n �w _.. �' ...
Name Paul Seidenberg Name: Michael Heissenberg
Address:5055 N Highway Al#C 706 Company: Expert Shutter Services
City: Hutchinson Island State:FL Address: 668 SW Whitmore Dr
Zip Code: 34949 Fax: City: Port Saint Lucie State:FL
Phone No.774-487-8541 Zip Code: 34984 Fax: 772-871-0990
E-Mail:piseidenberg@gmail.com 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$2500 or more,a RECORDED Notice of Commencement is required.
5U �:EMiTLONST1 >� TfC?N LIENW INt3RMATl N�$�
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tiltecolne. Name:
Add ress:6355 NW 36th St Suite soy Address:
City: Virginia Gardens State: FL City: State:
Zip: 331ss 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 our Notice of Commencement.
s
Signature of Owner/Lessee/Contract s Agent for Owner Signature of Contractor/License Hgolir
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The f r oing instr n as acknowledged before me The for oing instrument was acknowledged before me
this T day of 20 .1by this for
of 20 by
Michael Heissenberg 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
°� s$ NOTARY PUBLIC
Commission No. GG958999 ZaRYA Seal)aylor O'Brien Commission No. GG958999 pQ 1�
o �s � STATE OF FLORIDA
o NOTARY PUBLIC Z o
o�= Comm#GG958999
y
OF FLORIDA
Y =Comm#GG958999
Revised 07/15/2014 Expires 2/17/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS