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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /• ) SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application JAN 3 0 2018
Planning and Development Services
Building and CodeRegulationDivision
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 Al #502
Legal Description: OCEAN PEARL CONDOMINIUM (OR 1842-1609) UNIT 502
Property Tax ID #: 1423-505-0014-000-3
Site Plan Name:
Project Name: PECK
Setbacks Front Back:
Install 3 accordion shutters
Right Side: Left Side:
J�JSIKUUIUN�jNFC?ftMEiT1ON.`�;
ttiona workto e e orme un ert Ispermit—c
1]HVAC Gas Tank Gas Piping
11 Electric 0 Plumbing []Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 1,333.00
Lot No.
Block No.
LJShutters []Windows/Doors
[] Generator [] Roof = Roof pitch
S Ft. of First Floor: _
Utilities: Sewer 11Septic
Building Height:
'OWNERJLESSEEz :r
CONTRACTOR}
Name Jeffrey 8 Margaret Peck
Name: Michael Heissenberg
Address: 3920 N A1A #502
Company: Expert Shutter Services
City: Fort Pierce State: FL
Zip Code: 34949 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 gzsuu or more, a ntcoeDtD Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable
Name: Tiltecolne.
Ad d ress: 6355 NW 36th St Suite 305
City: Virginia Gardens State: FL
Zip: 33166 Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
x Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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
commencing work r rec6r'tline voidr Notice of Commencement. /
as
STATE OF FL RDA
COUNTY OF 1 ARCi
The forgoing instrument was acknowledged before me
this p }' day of �Cil�l�i�i J1171
Michael Hei55enbliM
(Name of person acknowledging)
Personally Known v OR Produced Identification
Type of Identification Produced
tp Haleigh Short
Commission No. ��Sealj.ARYPUBLIC
.n r STATE OF FLORIDA
Revised 07/15/2014 'WE 19r" Expires 5WI2021
STATE OF FLORIDA
COUNTY OF S_�_ 1 l C A 2
The forgoing instrument was acknowledged kefore me
this day of.Y'.t'(1_ \ 20 by
Michael Hsissentierg
(Name of person acknowledging)
(Signature of f lo$ary Pubiiq- State of Florida )
Personally Known ✓/ OR Produced Identification
Type of Identification Produced
Commission No. ( `-t R Haleigh Short
�VNOTARYPUBLIC
Expires 525/2r9,
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