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Permit Number: / '\ C)
RECEIVED
Building Permit Application
Planning and Development Services AUG 12 2015
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 INIFROUEME(VT LOCATIOtN
Address: Constance E Silakoski
Legal Description: OCEAN TOWERS CONDOMINIUM A-UNIT309
Property Tax ID#: 3535-701-0016-000-9 Lot No.
Site Plan Name: Constance E Silakoski Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIFTION'OF WORK
Install 1 Accordion shutter
CO.NSTRUCTION`INFO JAV ION
�.
Additional work to be nertormed under this permit—check a appy:
OHVAC Gas Tank OGas Piping I/ Shutters Q Windows/Doors
Electric O Plumbing OSprinklers MGenerator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: $ 5835.00 Utilities: Sewer Septic Building Height. 100'
OWNER/LESSEE CONTRACTOR:
Name Constance E Silakoski -Name: Michael Heissenberg
Address: 16 Melody Ct Company: Expert Shutter Services
City: Hamilton State:NJ Address: 1626 SW Biltmore St
Zip Code: 08691 Fax: City: Port St Lucie State:FL
Phone No.609-439-2597 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-871-1915
Fill in fee simple Title Holder on next page(if different E-Mail: expertpermits@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.
SUPPLEMENTAL CONST.RUCTfON [EN LAW INFORMATION',".,, m °
M
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 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
commencing wor or recording our Notice of CommencerrWnt.
s
Signature of Owner/Lessee/Ag t Signature of Contr for/License Hold-1
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The f rgoing instru ent was acknowledged Oore me The forgoing instru ent was acknowledged before me
this I�.day of 20 P by this A-�N day of 20 1 V-by
Michael Heissenb6rg Michael Heissenberg
(Name of person acknowledging) (Name of person acknowledging)
`(Signature of Notary Public-State of Flori a (Signature of Notary Public-State of 80iv
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
�, HEATHER VIZZO ptAR H THER VIZZO
Commission No. �? �2YPUBLIC Commission No.
STATE OF FLORIDA 9Q TARP PUBLIC
STATE OF FLORIDA
• Fr FF176266
Revised 07/15/2014 • Nce Expires 11/13/2018 •�W IV Expires 11/13/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS