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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q j y� �%
Date: SCANNED Permit Number: b DI -03 / 0
BY
St. Lucie County RECe ft
P s
Building Permit Application JAN i 67019
Planning and Development Services I Permitting oePd
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 3920 N A1A #501
Legal Description: Ocean Pearl Condominium #501
PropertyTax ID #: 1423-505-0013-000-6
Site Plan Name:
Project Name: Burket
Setbacks Front Back:
Right Side: X
Install 5 accordion shutters and 1 roll shutter
Left Side: X
Lot No.
Block No.
rCONSTRUCT[ON-INFO'RMATtON,
rtiona wor to e efformed un
ert is permit- cneCK an
inatapply:
EIHVAC
Gas Tank
❑Gas
Piping
Shutters
❑ Windows/Doors
11 Electric Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sct.
of First Floor:
Cost of Construction: $ 5,188.00
Utilities:nSewer
1:1Septic
Building Height:
';OWNER/LESSEEa erg; `- k
m ..
rCONTRACTOR e _.
Name Glenn & Kim Burket
Name: Michael Heissenberg
Address:3920 N A1A#501
Company: Expert Shutter Services
City: Hutchinson Island State: FL
Zip Code: 34949 Fax:
Phone No.814-285-0262
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.
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SUPPLEMENTAL CON5TRt1CTI0N LIEiV
LAW INFORMATION,
o- r
,r
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:_
Not Applicable
Name: Tilteminc.
Name:
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens
State: FL
City:
State:
Zip: 33166 Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X
Not Applicable
BONDING COMPANY:
Applicable
Name:
_Not
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 intend to obtain financing, consult with lender or an attorney before
as
STATE OF FLQQRIDA I STATE OF FLORIDA
COUNTY OF,�5V (.. e COUNTY OF St' I, _�_LC.t -�f
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of�1"cn1� , 20 )S�by this _G day of ,(-Ant,ION 20 A% -by
Michael Heissenb&g Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
(Signature f otary Pub' - State of Florida) QSignature ofiNo� ary Public- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.�?.tp yMeal}Ialeigh Short Commission No.&6qt/q (Seal)
oe �NOTARY PUBLIC aaippy,� Haleigh Short
STAIE OF ID
Revised ''s2' -J Comrn#GG148342 _ �STATE OFFLORIDA
CE to Expires 512512021 ' = Cornm# GG148342
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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4
COMPLETE
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INITIALS
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