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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4112- LY SCANNED
Permit Number:
G BY
St. Lucie County RECEIVED
Building Permit Application JUN 12 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie
county, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 —
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED`INIPROVEMENT CAT
ION -
Address: 9600 S Ocean Dr #1401
Legal Description: EMPRESS CONDOMINIUM UNIT 1401
Property Tax ID #: 4502-620-0100-000-8
Site Plan Name:
Project Name: Empress Condominium Unit 1401
Setbacks Front Back: x Right Side: Left Side:
Install 1 Accordion Shutter
Lot No.
Block No.
�CGONISTR0C-TI®NINFORMATIOW ` x;. -°' ..� ">. • �. lII
�HVAC Gas Tank
Electric Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,455.00
Piping Shutters ❑ Windows/Doors
nklers Generator D Roof = Roof pitch
S�Ftj. of First Floor: _
Utilities: LJ Sewer 0 Septic
Building Height:
bWNER/USSEE
, , #;_
CONTRi4CfOR
Name Margaret Guzman
Name: Michael Heissenberg
Address: 9600 S Ocean Dr #1401
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-9948
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.
ho
F
SI PPLEMENTAL:CONSTRI1CTI0N LIEN LAW IIUE`ORMATION:_
DESIGNER/ENGINEER: _ Not Applicable
Name: TlltecoInc.
MORTGAGE COMPANY: X
Name:
Not Applicable
Address: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
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, 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 intVd to obtain financing, consult with lender or an attorney before
commencing work or recording voudNotice of Commencement.
Signature
STATE OF FLORIDA
COUNTY OF_SJ i
The forgoing instrument was acknowledged before me
this _U_day of JLAr1G 20 aby
STATE OF FLORIDA
COUNTY OF l ur. rc
The forgoing instrument was acknowledged before me
this U day of c\lAf VC . 20 _ft by
Michael HeissenbQrg Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging)
of NoiVry Public- State of Florida )
Personally Known IOR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. &IGNy �qpk SDI) na:elgn dhoR Commission No. ��Sa-�� 2. (Seal)
NOTARY PUBLIC
Y 2Comm#GG148342o NOTARYPUBLIC
Revised07/15/2014 si'yCF0 Expires5/2512021 ::2STATE OF FLORIDA
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