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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2
Date: SCANNED Permit Number: I I — OOgi J
BY
St. Lucie County
Planning
Building Permit Application 0 si V,
A1OV
and Development pment Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LDCATION; "
Address: 7380 S Ocean or #A-317
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 317
Property Tax ID #: 3522-607-0013-000-9 Lot No.
Site Plan Name: Block No.
Project Name: LANDERS
Setbacks Front Back: X Right Side: Left Side: X
Install 4 Accordion Shutters
I'CONST'RUCTION'�INFORMATION:`"
LJHVAC II Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 6999.00
uu—UIcLn du apply:
Piping Shutters
?rs ❑ Generator
Spj Ft of of First Floor: _
Utilities: Sewer D Septic
m
❑ Windows/Doors
Roof = Roof pitch
Building Height:
OWNER/LESSEE; r.
CONTRACTOR: _
Name Gwendolyn Landers
Name: Michael Heissenberg
Address: 2720 SW 117th Ave
Company: Expert Shutter Services
City: Davie State: FL
Zip Code: 33330 Fax:
Phone No.954-648-9032
Address: 668 SW Whitmore or
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
11 vame or cuMHucum1 a pcouu or more, a KLLUKUCU Notice of Commencement is required.
SUP;PLEI J'ENTAL CON$TRPCTION.LI�N LAW INFORMATION:
= A
DESIGNER/ENGINEER: _ Not Applicable
Name: rllecoInc.
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 6355 NW 361h St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 inteFd to obtain financing, consult with lender or an attorrlgy before
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S} [—I-L(,j -e COUNTY OF _
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiqz'26 day ofJD�:_Vr7Y3ICY 20 aby this=-2-5dayofQ p r ,20 FI by
Michael Helssen4r; Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
Signature of Mary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
44a p & r
(S nature of N tary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission NaCC^1IU� 33WL (Seal) Commission No. C_ily�Z,
?et^R/�a„ NOTARY PUBLIC
Revised 07/15/2014 = Comm# GG148342
Fmires 512512021
Haleigh Short
NOTARY PUBLIC
Comm# GG148342
Expires 5/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
/ Q j
INITIALS
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