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All APPLIC`ABsLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: 3� ��P1a-a, Permit Number: aaa3'� 1
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Building pp Permit A lica
Planning and Development Services
Building and Code Regulation Division Commercial X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Hurricane Shutters
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RECEIVED
MAR 16 2022
ion
St, � county
Permitting
Residential
Address: 9550 S OCEAN DR 806
Property Tax ID #: 4502-601-0070-000-9 Lot No.
Site Plan Name: Block No.
ti•
Project Name: Debree
Install 1 accordion shutter
New Electrical Meter
Second Electrical Meter
(Affidavit required)
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping X Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 9,399.00
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer —Septic Building Height:
Q111/NER�LESSEE•QNJ
la R:
NameWilliam & Bronwyn Debree
Name Michael Heissenberg
Address: 12 Lynwood Dr.
Company: Expert Shutter Services
city: Battle Creek state: MI
Address: 668 SW Whitmore Drive
Zip Code: 49015 Fax:
city: Port Saint Lucie State. FL
PhoneNo.269-961-8171 E-
Zip Code:34984 Fax:
Mail:
Phone No772-871-1915
Fill in fee simple Title Holder on next page (if different
E-Mail Permits@expertshutters.com
State or County License 16572
from the Owner listed above)
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.
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DE�4'NER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Tilteco, inc.
Name:
Address: 6355 NW 36th St. #305
_
Address: i
City: Virginia Gardens State: FL
City: State:
Zip:33166 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: - Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
UWIYtK/ wN 1 RAC OR Amuvl 1 : 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 conflicts with any applicable 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 it.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing; consult
with lender or an attornev before commencinE work or rprnrriina vniir NntirP of i7nmmPnrPmPnt
I ze-
Signature of Owner/ Lessee/Contractor as nt for Owner
STATE OF FLORIDA
I
i
COUNTY OF St. Lucie
i
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this -Lla_ day of 2022, by
Michael Heissenberg
Name of person making statement.
i
•
Personally Known x OR Produced Identification
I
Type of Identification Produced
�t
(Signature of Notary Public- State of Florida) Shanon O'Shea I
Commission No. GG258038 (Seal)
�NOTARY PUBLIC
—STATE OF FLORIDA
Jr-
Comm# GG258038
E Expires 9/12/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
—1
COMPLETED