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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: G 4% SCANNED Permit Number: �i01"d�06
BY RECEIVED
='i`+�y St. Lucie Countv
Building Permit Application JUL 2 6 ?019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED'IMPROVEMENT LOCATION:,
Address: 9500 S OCEAN DR 409
Legal Description: ISLANDIA II CONDOMINIUM UNIT 409
Property Tax ID #: 4502-602-0033-000-1
Site Plan Name:
Project Name: Milikin
Setbacks Front Back: X
Install 1 Accordion Shutter.
Right Side: Left Side:
IzCONSTRUG fIQN'INFORIVIATIONt
ACir itinna Pri iinriprthic nprmii rTor nil t nt nnn v
OHVAC IJ Gas Tank
11 Electric El Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,41
5.00
Lot No.
Block No.
Piping ZShutters ❑Windows/Doors
nklers 12 Generator 0 Roof = Roof pitch
S Ft. of First Floor: _
Utilities:'n Sewer []Septic
Building Height:
OWNER/LESSEE
CONTRACTOR:
Name Charles S Milliken
Name: Michael Heissenberg
Address: 9500 S Ocean DR Apt 409
Company: Expert Shutter Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-1208
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 SZSOD or more, a RECORDED Notice of commencement is required.
SUpPLEMENTAL,GCiNSTRIJCTION LIEN.tAW INFORMATION r:
DESIGNER/ENGINEER: _ Not Applicable
Name: ritecoInc.
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: _Not
Name:
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 inspecti If yo ' tend t.pWbtain financing, consult with lender or an attorney before
' commencing work o ecor e v r No I e of Commencement. n //
blgnature of uwner/Lessee/Contractor as Agent for oktner blgnature Or-Contractor/License Molder /
STATE OF FLORIDA 5 1 - L IC Ile STATE OF FLORIDA �� /' I �%'ZJ
COUNTY OF i Vil C COUNTY OF IOL -C
Th for instrument was acknowledes & gfore me
th cling day of vt l 20 L by
Michael Heissenbirg
(Name of person acknowledging)
V (Signature of Notary, P/uplic- State of Flori )//
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
Th f cling instrument was acknowledged before me
th(day of 20 & by
Michael Hsissenberg
(Name of person acknowledging)
wledging) ,
q��
(Signature of Notary P lic- State of Florid
Personally Known OR Produced Identification
Type of Identification Produced
(Be* Public State of Florida C mission No.
Heather Vizzo
My Commission GG 292853 l
of Florida
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