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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n�
Date: SCANNED Permit Number: I711-00,5(o
BY
r A ��� St. Lucie County RECEIVED
Building Permit Application NOV 0 2 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie
2300 Virginia Avenue, Fort Pierce FL 34982 County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter I
Address: 7420 S OCEAN DR 611
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM C- UNIT 611 AND UND PRO-RATA
SHAREIN COMMON ELEMENTS
Property Tax ID #: 3522-604-0030-000-5
Site Plan Name:
Project Name: KATZ
Setbacks Front Back: X
Install 2 Accordian Shutters
OHVAC U Gas Tank
11Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 7521.00
Lot No.
Block No.
Right Side: Left Side:
Jerrna— cnecKau
SasPiping
apply:
_Shutters ❑Windows/Doors
Sprinklers
Generator 11
Roof = Roof pitch
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
XOW�IER(tE55EE"�.
Name Stephanie Hilyard
Name: Michael Heissenberg
Address: 8261 SW 90th St
Company: Expert Shutter Services
City: Miami State: FL
Zip Code: 33156 Fax:
Phone No. 772-631-7775
Address: 668 SW Whitmore Dr
City: Port Saint Lucie
Zip Code: 34984 Fax:
Phone No. 772-871-1915
State: FL
772-871-0990
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.
Name: Tiliew Inc. -----
Add ress: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 intendlo obtain financing, consult with lender or an attoyney before
STATE OF FLQRIDA STATE OF FLORIDA
COUNTY OF l l 1 C r -e COUNTY OF 4F�-t- I, AJLCJ-if
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this J2, day of SP _ 20 nby this _V_ day of SPA}- 20 _Ja by
Michael Heissen4g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
of
Personally Known V OR Produced Identification
Type of Identification Produced
-Revised 07/15/2014 O: W Expires
r s M25 202
r E>mires 5/15l2021
of
of Florida )
Personally Known v OR Produced Identification
Type of Identification Produced
Commission No C q9 (Seal)
.wtARYAe_ Haleigh Russell
STATE OF FLORIDA
Comm# GG10M
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