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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: SCANNED Permit Number: IIa,-da-ri%
BY
St. Lucie County
Building Permit Application RECUE-E ED
Planning and Development Services DEC 11 2017
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 LOCATION:
Address: 9940 S Ocean or #1110
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 1110 AND .8625 PERCENT INTIN COMMON ELEMENTS
Property Tax ID #: 4502-502-0117-000-7
Site Plan Name:
Project Name: Pirtle
Setbacks Front X Back: X
DETAILED`.DESCRIPTIONOF WO
I Install 3 Accordion Shutters
Right Side: Left
tSide:.
14 .
Lot No.
Block No.
CONSTRUCTION' INFORMATION:"
rtlona wor to e a orme under tispermit—c ec
❑HVAC E] Gas Tank ❑Gas Piping
a
apply:
Shutters
❑ Windows/Doors
❑Electric ❑ Plumbing
[]Sprinklers
❑ Generator
❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 8,157.00
UtilitiesSewer ❑Septic
Building Height:
OWNER/LESSEE;
CONTRACTOR::
Name Glenn & Janice Pirtle
Name: Michael Heissenberg
Address:9940 S Ocean Dr #1110
Company: Expert Shutter Services
City: Jensen Beach State:F1
Zip Code: 34957 Fax:
Phone No. 772-871-1915
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name: niteco Inc.
Address: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER: = Not Applicable
Name:
Address:
City:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
Zip: Phone: I 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 attorney before
Owner
STATE OF FLORIDA
COUNTYOFSI— uCCAC
The forgoing instrument was acknowledged before me
this,?) day ofMM Y-. 20 f by
STATE OF FLORIDA
COUNTY OF SE L t 11r 1 C
The forgoing instrument was acknowledged before me
this_ day of KDVe_M1<? X, 20 Z by
Michael Heissenb&g Michael Heissenberg
(Name of person acknowledging ) (Name of person acknowledging)
Signature of No ary Publi State of Florida )
Personally Kn n OR Produced Identification
Type of Identification Produced 1 1
Commission No. �, IH `6 HZ (Seal)
.,,myA, Haleigh Short
7 Zr� ' 1 � �
'(Signature of Lary Pub'c- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.G C71L bJ J Z
(SHale(gh Short
NOTARY PUBLIC
Revised 07/15/2014. c STATE OF FLORIDA i Comrn# GG148342.
�: N ,ea Comrn#GG148342 * N E 8ne Expires 5/25/2021
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