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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �6% a Permit Number:a\'OA'arJ3
RECEIVED
__ _ _ _ AUG 19 2021
Building Permit Application
Planning and Development Services St. Lucia Bounty
Building and Code Regulation Division Perrri�fiHg
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
'PERMIT APPLICATION FOR: Shutter
Address: 3200 N HIGHWAY A1A 902
Legal Description: SEA PALMS UNIT 902 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 1425-600-0078-000-7
Site Plan Name:
Project Name: Moerschbaecher
Setbacks Front Back: X
Install 1 accordion shutter
Right Side: Left Side:
L�1Electric 0 Plumbing FISprinklers
l
!Total Sq. Ft of Construction:
Cost of Construction: $ 1,120.00
MGenerator
S Ft. of First Floor: _
Utilities:HSewer Septic
Name Joseph M Moerschbaecher III
Address:4809 Pike Dr
City: Metairie State: LA
Zip Code: 70003 Fax:
Phone No. 504-491-6709
E-Mail:
Fill in fee simple Title Holder crop next page (if different
from the Owner listed above)
Lot No._
Block No.
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 $2500 or more, a RECORDED Notice of Commencement is required.
NGINEER: _ Not Applicable
Name: Tilteco Inc.
Address: 6355 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:
X Not Applicable
State:
BONDING COMPANY: " Not Applicable
Name: _
Address:
City:_
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/Contrac s Agent for Owner Signature of Contractor
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this day of AuQ
20I by
The forgoing instrument was acknowledged before me
this )-L day of Aug.
20 � by
Michael Heissen4g Michael Heissenberg
i (Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida) (Signature off 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
% p Shanon O'Shea 2
Commission No. �SS2�ottRY NOTARY PUBLIC Commission No. t 3 �o�p Shanon O'Shea
�Sjo STATE OF FLORI A aQ NOTARY PUBLIC
!:!STATE OF FLORIII
Revised 07/15/2014 l / CE IIAI 19A
Expires 9/12/2022 y %7 Comm# GG25803f
��CE Expires 9/12/202
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