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ALL APPLI ABL - INFO MUST BE COMPLETED FOR APPLICATION TO BE -ACCEPTED
Date: SCANNED Permit Number:
iris....:1M BY
e
St. Lucie County RECEIVED
Building Permit Application APR 2 2 Z019
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
I PROPOSED IMPROVEMENT LOCATION:',
Address: 9960 S OCEAN DR 205
Legal Description:
THE MIRAMAR II UNIT 205
Property Tax ID #: 4502-702-0005-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Mascolo
Setbacks Front X Back: Right Side: Left Side: X
DETAILED DESCRIPTION; OF WORK
Install 2 accordion shutters
CONSTRUCTION' INFORMATION:' ,
AdditionaiworKtOoenerrormeauncierimspermit-c ec all apply:
OHVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator EIRoof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 10,399.00
5 Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:
OVNNER/LESSEE:
CONTR/aGTOR: N; `-
Na me Anthony Mascolo
Name: Michael Heissenberg
Address:195 Avenue C
Company: Expert Shutter Services
City: Ronkonkoma State: NY
Zip Code: 11779 Fax:
Phone No. 772-229-5019
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.
SUPPLEMENTAL CONSTRUCTION LIEN°LAW INFORMATION;;
DESIGNER/ENGINEER: _ Not Applicable*
Name: Tillecolnu.
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 6355 NW 36Ih St Suite 305
Address:
City: Virginia Gardens State: FL
Zip: 33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 inspecticin�TT�y ou Inten� o obtain financing, consult with lender or an attoyney before
commencing work or recordiFvbur Nf�tice of Commencement -
as
STATE OF FLQfIDA STATE OF FLORIDA
COUNTY OF Ji �LAC�1P_ COUNTY OF�-L'wie-
The forgoing Instrurnent was acknowledged before me The forgoing instrument was acknowledged before me
this a day of i 20 aby this day of AAD 20 4 by
Michael Heissenberg I Michael Hsissenberg
(Name of person acknowledging) (Name of person acknowledging )
&wx 01 %a&- mak in, NA -
(Signature of Notary Public -State of Florida) (Signature of Notary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced_
Commission NAG � Jb on ^a`p0. ) yNOTARY P
STATE OF
Revised 07/15/2014
Personally Known _V OR Produced Identification
Type of Identification Produced
O'Shea
Y PUBLIC
OF FLORI
Expires 9/1212022
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