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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5� I1 ` �� 9(;ANNED Permit Number: BY o} s st, Lucie County ;RECEIVED Building Permit Application HAY 17 `,Dig Planning and Development Services Building and Code Regulation Division^e County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential' PERMIT APPLICATION FOR: Shutter — Co,ao Address: 10410 S OCEAN DR 1002 Legal Description: HUTCHINSON ISLAND CLUB -APT 1002 Property Tax ID #: 4511-514-0074-000-8 Lot No. Site Plan Name: Block No. Project Name: Devellis Setbacks Front Back: X Right Side: Left Side: Install 1 accordion shutter xC©N5�+ &(��d.d'St * 3 -b�dr�rgy+.*'#tKi .$p.'gxi n] y�'� triF''k � w. y*i5fh #�S, i b M � ^Ft*,'tP k fi i.t t't✓ t•a d43rvi`. itlJCfliN IIF©,RMA°fIt3N#t$ a wrvM` } h¢itwp sya .?T'd axk4+n'" x. ri K.,.. d-. <: rvtirv. h .d'k.m'Y'.�....iuR' .. t,. ,.,a «..a•#,n.. ., P Itlona wor to e e orme un er t Is permit c ec a app y. �HVAC Gas Tank ❑Gas Piping �_ Shutters Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 2,617.00 Utilities.. Septic Building Height: Name: Michael Heissenberg Name Richard DeVellis Address: PO Box 1539 Company: Expert Shutter Services City: Lincoln State: NH Address: 668 SW Whitmore Dr Zip Code: 03251 Fax: City: Port Saint Lucie State: FL Phone No.603-303-0219 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: Callexpert@aol.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. �tPPE�YiALG�N3ftUCi01CA, L'1�tLW14t3tI1�gTEt7N y ' u r°+aFF, DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Tiltece Inc, Name: Address: 6355 NW 36th St Suite 305 Address: City: Virginia Gardens State: FL Cit y' State: Zip: 33166 Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Applicable Name: Name: _Not Address: Address: City: City: Zip: Phone: 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: roomadditions, 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 record d and posted on the jobsite before the first ins If you intend to1btain financing, consult with le d r or an attorney, before commenlfw_recoftixwwur NoMiee of Commencement_ /7 /i as STATE OF FLO A t STATE OF FLORIf�q� COUNTY OF�.�\Li�l� COUNTY OF — The Michael Heissenb&g Michael Hsissenberg (Name of person acknowledging ) (Name of person acknowledging) (Signature of Notary PubliF- State of Florida ) Personally Known ,V/ OR Produced Identification Type of Identification Produced Commission No.� r at n O'Shea o �I PUBLIC ep STATE OF FLORIDA a Co 38 Revised 07/15/2014 E1 �0 Expires 911y2022 (Signature of Notary Public- State of Florida ) Personally Known __LZ OR Produced Identification Type of Identification Produced MMpp'' anon ea Commission NWflRY PUBLIC TATE OF FLORIDA Expires REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLET INITIALS