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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ]^ t� Date: Permit Number: ( Ida Oa 0OLU L SCANNED ©BY S L de County RfcFn,Eo hui ding Permit Application FFe.r:i1o>,0 Planning and Development Services Permitti Building and Code Regulation Division St LOVID co artn100t 2300 Virginia Avenue, Fort Pierce FL 34982 unh' Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Shutter III Address: 7410 S OCEAN DR 505 Legal Description: SAND DOLLAR VILLAS CONDOMINIUM D- UNIT 505 AND UND PRO-RATA SHAREIN COMMON ELEMENTS Property Tax ID #: 3522-605-0024-000-3 Lot No. Site Plan Name: Block No. Project Name: Gary & Aimee Sweringen Setbacks Front X Back: Right Side: Left Side: } DETAILED DESCRIPTION Install 1 accordion hurricane shutter CONSTRUCT N I"MATION: r .' • 3 .. .e. a. f AClaitionai worK to 0e errormea un er truspermit—c ec all apply* ❑HVAC Gas Tank ❑Gas Piping 0_ Shutters ❑ Windows/Doors ❑Electric ❑ Plumbing Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch Total Sq. Ft of Construction: FFtt.I of First Floor: S"Ft Cost of Construction: $ 557.00 Utilities: nSewer ❑Septic Building Height: OW.iV_E;R/LESSEE: _: -CONTRACTOR �a Name Gary & Aimee Sweringen Name: Michael Heissenberg Address:148 KINGS WAY Company: Expert Shutter Services City: Royal Palm Beach State: FL Zip Code: 33411 Fax: Phone No.561-252-1673 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 vaiue or construction is >[7uu or more, a iacunUtU Notice of commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LA*INFORM' Name: Tiileculnc. Address: 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 commencine work or recordine vour Notice of CommPnrPmPnt o as STATE OF FLORIDA STATE OF FLORIDA COUNTY OF�2* L,t_ r j lf COUNTY OF . 1 ,c_f C J f The forgoing instrument was acknowledged before me this _L day of 20 nby Michael Heissenblim (Name of person acknowledging) The forgoing instrument was acknowledged� �before me this I day of r'� , 20 1 by Michael Hsissenberg Name of person acknowledging-) of Florida ) Personally Known N OR Produced Identification Personally Known X OR Produced Identification Type of Identification Produced Type of Identification Produced Commission Revised 07/15/2014 Haleigh Short Commission NOTARY PUBLI STATE OF FLOR DA Expires 5/25/2021 "W?l Short NOTAN PUBLIC STATE OF FLORI Expires 5/25/2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS