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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED F ♦ePPLICATION TO BE ACCEPTED j� Date: �l $YI4E Permit Number: , //(��©U' 0798 St. Lucie County 1 - ; ^—•_) u Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential AUG 13 2017 PERMIT APPLICATION FOR: Shutter III Address: 9500 S OCEAN DR PH-05 Legal Description: ISLANDIA II CONDOMINIUM UNIT PH-5 Property Tax ID #: 4502-602-0189-000-9 Site Plan Name: Project Name: KRAUSE Setbacks Front Back: X Right Side: INSTALL 1 ACCORDIAN SHUTTER 1_1HVAC LJ Gas Tank 1-1 Electric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 6490.00 Lot No. Block No. Left Side: Piping ZShutters ❑Windows/Doors nklers 1:1 Generator Roof = Roof pitch S Ft. of First Floor:_ Utilities: Sewer E]Septic Building Height:' OW,NRESSE �' r�� a .. ay. .. .; , a ....xv .r x _. .,, r..: a .. -s.. _ .• Name Richard H Krause Name: Michael Heissenberg Address: 637 Berkshire Ct Company: Expert Shutter Services City: DOWNERS GROVE State: IL Zip Code: 60516 Fax: Phone No.630-920-5506 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 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable Name: Tiilt-mine. MORTGAGE COMPANY: Name: X Not Applicable Address: 6355 NW 36th St suite 305 Address: City: Virginia Gardens Zip: 33166 Phone: State: FL City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: = Not Applicable 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 inspectio-r .,If you i0end to obtain financing, consult with lender or an attorney before STATE OF FLORIDA STATE OF FLORIDA COUNTY OF '3A- k k Aram COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this An day of JU J 20 aby this Aa day of � 20 A= by Michael Heissenbig Michael Hsissenberg (Name of person acknowledging) (Name of person acknowledging) State of Personally KnWin ^v OR Produced Identification I Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No6_3C: 110 5 ;aQQ Haiegh Russell Commission NoG61109 (SMallliigh Russell NOTARY PUBL NOTARY PUBLIC Comm# GG108399 Comm# GG108399 Revised 07/15/2014 Expires 5/25/2021 1 Expires 5252021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS