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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: 1_763, oLN�
BY
St. Lucie County
Building Permit Application
Planning and Development Services AUG
Building and Code Regulation Division 2 3 2017
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMtNT.LOtATION:,I
Address: 4100 N A1A 313
Legal Description: TREASURE COVE DUNES UNIT 313
Property Tax ID #t: 1423-502-0014-000-4
Site Plan Name:
Project Name: HEIM
Setbacks Front Back: X
Install 1 Accordian Shutter
Right Side: Left Side:
Lot No.
Block No.
VVV1N LW U arruuucu
0HVAC Gas Tank
unuer uus permit— cnecKau
❑Gas Piping
appiy:
❑Windows/Doors
_Shutters
11 Electric
0 Plumbing
❑Sprinklers M Generator
El
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction:
$ 2424.00
Utilities:n
Sewer
DSeptic
Building Height:
OtWNERJL'ESSEE ;CONTRACTOR:
Name David & Mary Heim
Name: Michael Heissenberg
Address:3198 Woodland Court South
Company: Expert Shutter Services
City: North Tonawanda State: NY
Zip Code: 14120 Fax:
Phone P, 16r22;0359)
Address: 668 SW Whitmore Dr
City: Port Saint 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
.• a...= 1..1.r1 U111U1. ro Jzauu ur more, a ncwnueu Nonce oT commencement is required.
YCJIVIYCR/ c1YV11YCCR: IVOL Applicabe
MORTGAGE COMPANY: , Not Applicable
Name: nueco Inc.
Name:
Add reSS: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardena 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:
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 t9 obtain financing, consult with lender or an attorney before
commencing work o cor ng-vour Note of Commencement. or
as
STATE OF FLOJRLDA STATE OF FLORIDA
COUNTY OF l L I U COUNTY OF Gi 1 ), L_(- n-P
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this A::! day of _V'n A L.l, -i-. 20 L--Iby this (1 day of )91 A(''I '�" . 20 17 by
Michael Helssenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
i�lQt Cv1..
Signature tf yotary Public- State of Florida) (ignature of of ry Public- State of Florida )
Personally Known V OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced Type of Identifications/ Produced
Commission NO.(- GI ID$ '—I (Sea% Commission No.(SJGJIb &:f>"::R (Seal)
ao t� alelgh Russell ayA,_ H990 Ruwell
STATE OF FLORIDA STATE OF FIXRII
Revised 07/15/2014 COnMOGG108399 CmtnP001083B9
REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
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DATE
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INITIALS