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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number:
BY
St. Lucie County RECEIVED
JAN 0 91010
Building Permit Application Permitting
Planning and Development Services St. Lucie county
ent
e
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
P,RYOPOSEUINIPRO"V£IVIENTCOCATION. , ",'
Address: 9940 S Ocean Dr #1109
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 1109 AND .7875 PERCENT INTIN COMMON ELEMENTS
Property Tax ID #: 4502-502-0116-000-0
Site Plan Name:
Project Name: Varga
Setbacks Front Back: X
Install 1 accordion shutter
Right Side:
Left Side:
Lot No.
Block No.
uuuiunai wurrc ru ue errurmeu
ElHVAC
Gas Tank
unuertnis perm¢—cnecx an
❑Gas Piping
apply:
❑Windows/Doors'
_Shutters
Electric
Plumbing
Sprinklers
Generator
Roof
=
Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,046.00
S Ft. of First Floor:
Utilities:Sewer ESeptic Building Height:
,OW
GO TRACCOR
Name John & Claudia Verga
Name
Name: Michael Heissenberg
Address: 76 Forestdale Rd
Company: Expert Shutter Services
City: Rockville Ctr State: NY
Zip Code: 11570 Fax:
Phone No.772-871-1915
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
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMEN TAL;CONSTRUCTIQNLIEN,'WA
f
I INFORMATION:
DESIGNER/ENGINEER: _
Name: Tilteminc.
Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Add ress: 6355 NW 36th St Suite 3o5
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, 1 do hereby agree that 1 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
commencine work or,r ordine vouf Notice of Commencement. e
Owner
STATE OF FLORIDA
COUNTY OFe
The forgoing instrument was acknowledged before me
this zdayof lCaCl11C�Y\ �20 \L by
Michael Heissenbkg
(Name of person acknowledging)
+,(Signature of y
ary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
STATE OF FLORIDA
COUNTY OF C�5 A_LC
The forgoing instrument was acknowledged before me
this-2' day ofS Ar'tIIIJ20 %'�. by
Michael Hsissenberg
;Name of person acknowledging)
(S nature of No ry�blic- Stat� a )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No. 6 G 141?32 lineal) Halelgh Short Commission No.
NOTARY Pl.
Revised 07/15/2014 a Corn"GG148342
M 01; Expires 5/2512021
I) Halelgh Short
NOTARY PUBLIC
Comm# GG148342
Expires 5125/202
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