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ALL APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �� - ���
Date: — Permit Number: (UC1(
9 3
Building Permit Application
Planning and Development Services
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
ROPOSED�"kOVEME,NT LCCATI;,�P _p ei .. ' �� awi �r„�_Alq_Alq�,
Address: 3120 N AIA 1304
Legal Description: OCEAN TOWERS CONDOMINIUM B-UNIT704
Property Tax ID#: 1425-610-0135-000-6 Lot No.
Site Plan Name: Douglas L Hall Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DmE GAILED DESCRIPTIONi” ",'WORK `�� S��i,,
Install 6 Accordion shutters
° uiw`iu ra irwdii ;
C�C�NSTRU 71,10MINFOR�MA�TION
Additional work toa ner orme under this permit—c ec a appy:
HVAC E]Gas Tank Gas Piping Shutters Q Windows/Doors Ll
0 Electric 0 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 6141.00 Utilities: Sewer ElSeptic Building Height: 140'
C�UVNE_&IIE'EE CO.NTRACTOR
Name Douglas L Hall Name: Michael Heissenberg
Address: 108 Catalina Dr Company: Expert Shutter Services
City: Tybee Island State:GA Address: 1626 SW Biltmore St
Zip Code: 31328 Fax: City: Port St Lucie State:FL
Phone No.772-467-0304 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: callexpert@aol.com
from the Owner listed above) State or County License: 16572
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPP.LEMENTAL°,CONSTR;UCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: 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 thepermit 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 f you intend to 9btain financing, consult with lender or an attorne before
commencing work r r r Noti96,6f Commencement.
s
_Signature of Owner/Lessee/Agent —Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St L.d.
The forgoing instrunnnt was acknowledged,bWore me The=ay
ng instru ent was acknowledged before me
this�v day of .�T 20 I'd by this 20 Q 11 by
Michael Heissenbirg Michael Heissenberg
(Na a of person acknowledging) (Name of person a knowledging)
viv A
l-
(Signature of Notary Public-State of FloCIA) 611 (Signature of Notary Public-State gAor0a)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Y HEATHER VIZZO HEAT jj����R Il,VIZZO
Commission No. NOT YIIpUBLIC Commission No. NOTARI ABLIC
STATE OF FLORIDA STATE OF FLORIDA
COMMO FF176266 At%T9
®'E Xm Expires 11/13/2018
Revised 07/15/2014 Expires•INCE 19�� fires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS