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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,h(
Date: A I ri SCANNED Permit Number: O J
BY
St. Lucie County
Building Permit Application APR 12 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 31 LAKE VISTA TRL 203
Legal Description: VISTA ST LUCIE BLDG 31 UNIT 203
Property Tax ID #: 3422-500-0430-000-3
Site Plan Name: Patricia M Roodhof
Project Name:
Setbacks Front Back:
Install 4 Accordion Shutters
HVAC LJ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 1468.00
Right Side: Left Side:
iw-UICLM all zapply.
Piping _Shutters
nklers 11 Generator
S Ft. of First Floor: _
Utilities:Sewer 11 Septic
Lot No.
Block No.
Windows/Doors
Roof
Building Height: 30'
OWNER/LESSEE:
CONTRACTOR:
Name Patricia M Roodhof
Name: Michael Heisenberg
Address: 31 LAKE VISTA TRL 203
Company: Expert Shutters
City: Port St Lucie State: FIL
Zip Code: 34952 Fax:
Phone No.607-433-2316
Address: 668 SW Whitmore Dr
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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.
SUPPLEMENTiALGONSTiRUC^TION LIEN LAW INFORMAITION
DESIGNER/ENGINEER: _ Not Applicable
Name: Tilteco.Inc.
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 6355 NW 36th St #305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone: 305-871-1530
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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: 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 attorng before
of
STATE OF FLORIDA
COUNTY OF �. LL( C 1-(
The forgoing instrument was acknowledged before me
s thiday of �1 Q �C, 20 !!by
STATE OF FLORIDA J -C 4. LuC/ n
COUNTY OF
The forgoing instrument was acknowledged before me
thisday of 1 1 ` Q (a, , 20 1 ) by
Michael Heissenberg Michel Heissenberg
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public -State of F o / (Signature of Notary Public -State of Floro
o i117
Personally Known x
Type of Identification
OR Produced Identification
Commission No. Y Lw (Seal)
HEATHER
Personally Known x OR Produced Identification
Type of Identificatio(n' Produced_
Commission No__F a�
(Seal)
HEATHER VIZZO
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Revised 07/15/2014 0 J = S'' ATt OF FLORID o 7l9� rL STATE OF FLORIDA
i e Comm# FF1762.66 !xr Comn1# FF176266
F .,� iimaI2018 ;i.1'a
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