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ALL APPLI ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: , la' Permit Number: a,"\oA^a�a1
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
I?ROPQSED 1NlPROVEMEIVT LQCATlCI3N YAW a
Address: 9960 S OCEAN DR 903
Legal Description: THE MIRAMAR II UNIT 903
Property Tax ID#: 4502-702-0038-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Natale
Setbacks Front Back: X Right Side: Left"Side:
un
A, A1LEa DERIPTION tf Wt7Rt _ �� Ty9
Install 1 accordion shutter
CC}ICiSTRUCTI(} t INFORN[ TION'
-
Additional work to e a orme underd this permit-c ec a I
11HVAC fl Gas Tank Gas Pi in [,Iap' ply:
_Shutters W'
❑ Piping Q endows/Doors
❑Electric ❑Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 11,471.00 Utilities:cnSewer Septic Building Height:
O1t1lNER LE55�Ir
0
Name Phyllis Natale Name: Michael Heissenberg
Address:1820 NE Jensen Beach Blvd#622 Company: Expert Shutter Services
City: Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34957 Fax: City: Port Saint Lucie State:FL
Phone No.772-349-3707 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: Callei(pert@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 RtEl�ltENTAL CONST UCTlO k �IIEN�,LAW INFORMATION A �
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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.
Signature of Owner/Lessee/Contractor Agent for Owner Signature of Contrac or/License Holt
STATE OF FLORIDA V + i I n � STATE OF FLORIDA
,(� p i ,�l
COUNTY OF cJ� 1�1Jt l�11. COUNTY OF U , lily
Sw. ran to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
)S!A4ysical Prese c Online Notarization sical Presencg,or Online Notarization
this day of 2024 by this day of (�' 2024 by
Name of person making statement. Name of person making statement.
Personally Known�OR Produced Identification Personally Known OR Produced Identification
Type of Identification( - Type of Identification
Produced Produced
a - _r
(Signature of Notary Public-State of Florida) Taylor O'Brien (Signature of Notary Public- ate of
tpav id Taylor Taylor O'Brien
(� so NOTARY PUBLIC s
Commission No.OAM � o� e STATE OF FLORI 'commission No. �i' ge �� OTARY PUBLIC
Comm#GG95899 ATE OF FLORID
4 psi ?Cornet#GG958999
CE t xpires 2/17/202
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.