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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
SMv p ILL
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax:(772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
Address: 1107 S 33rd St
Property Tax ID q: 2417-214-0007-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Kundu
DETAILED DESCRIPTION OF WORK:
INSTALL ACCORDION SHUTTERLS) - Ic-
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply
_Mechanical
_Gas Tank
_Gas Piping
xShutters _Windows/Doors _Pond
_Electric
_Plumbing
_Sprinklers
_Generator _Roof Pitch
Total Sq. Ft of Construction:
Sq.
Ft. of First Floor:
Cost of Construction:
$ 6500
Utilities:
—Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MILK Property Holdings LLC
Name: Edward J Heritage
Address: 1306 S 14th Cr
Company: Folding Shutter Corporation
Address: 1862 Dr Martin Luther King Blvd
city: Fort Pierce State: FL
Zip Code: 34982 Fax: n/a
Phone No.772-216-9176 E-
City: West Palm Beach State: FL
ZlpCode: 33404 Fax: 561-640-8204
Phone No 561-6834811
Mail: n/a
Fill In fee simple Title Holder on next page (if different
from the Owner listed above)
E-mail info(Mfoldingshutters.com
State or County License SCC131151041
If value of construction Is 2500 or more, a RECORDED Notice of commencement Is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
LIGDwlybNybNbINLLN: _Not Applcable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State:_ City: State:_
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
_ Not Applicable
BONDING COMPANY: _Not Applicable
Address:
City:
Zip: Phone:
:ONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no re resentation that is Vp.ntin¢¢ a permit will authorize the permit holder to build the subject structure
which conflicts with any appi cable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 of Ownr as Agent for Owner
STATE OF FLORIDA��
ABM
COUNTYOF
Sworn iio for affirmed) and subscribed before me of _XIL
Physical Presence or Online Notarization
this I X day of NG 2021 by
EDWARD J HERITAGE
Name of person making statement.
Personall Known X)O( OR Produced Identification
Typ Id tification Produced
(signature of Notary Public -State of Florida)
Partxla A Evans
Commission No. (Seal)
NOTARY PUBLIC
STATE OF FLORIDA
Con" GG20270
Expires 10H1/2022
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DATE
COMPLETED
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