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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I�' dam' Permit Number:
RECEIVED
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ow
Building Permit Application DEC 0 2 2021
St.Lucie County
Planning and Development Services Permitting
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
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PROPOSED IIUIPR01/E1IIIENT LOCATION E
Address: 3200 N HIGHWAY A1A 609 _.
Legal Description: SEA PALMS UNIT 609 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID#: 1425-600-0055-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Donato
Setbacks Front Back: X Right Side: Left Side:
DETAILED C3ER(PTION C?F WfJRK .
Install 1 roll shutter
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CNSTRUCTIONxINFORlViATIC+N 1.
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Additional wor to e orme under this permit—check a apply:
�HVAC f Gas Tank Gas Piping Z Shutters Windows Doors
Electric Plumbing Sprinklers 1:1 Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 1,986.00 Utilities: _Sewer Ll Septic B l ilding Height:
C.1xUt(NR/LjEEEx ; 3CONTRACTt� ax ti...' h ,y3
Name Mary Margaret Donato
Name: Michael Heissenberg
Address:6135 Thorncrest Dr Company: Expert Shutter Services
City: Bloomfield State:MI Address: 668 SW Whitmore Dr
Zip Code: 48301 Fax: City: Port Saint Lucie State:FL
Phone No.248-752-5185 Zip Code: 34984� Fax: 772-871-0990
E-Mail: Phone No. 772-871-1915 i
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.
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PMtNLC} L1lV'lAVllllJRMAT� ?1tiY rx' y
rNaFme:
SIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Tiltecoinc. Name:
AddreSS:6355 NW 36th St Suite 305 Address:
City: Virginia Gardens State: FL City: State:
Zip: 33166 Phone: Zip: Phone: I
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FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: I
City: City: i
Zip: Phone: Zip: Phone:
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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.
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Signature of Owndr/Less6e/Contra C1711
Agent for Owner Signature of Contr ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA {
COUNTY OF St.Lucie COUNTY OF St.Lucie; {
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I day of D2.CCMbU 20 2�1by this__?- day of 1)P.c.e- loe.r ,20 2.� by
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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
Shanon O'Shea
hanon O'Shea Commission NO. GG258038 ��� y QTARY PUBLIC
Commission No. GG258038
�tpRY al Q
o.,.OTARY PUBLIC STATE OF FLOR{DA
STATE OF FLORID a #GG258038
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ExpiresE 19�� Expires 9/12/2022
Revised 07/15/2014 7NCEIs', 9/1212022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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