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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED P /r� Date: '�- I-�_t.� Permit Number: I ()© l0 VY E `� Building Permit Application 7 Planning and Development Services JUN 9 2P',,t Building and Code Regulation Division P E R'"0JIT T7 LQ 2300 Virginia Avenue,Fort Pierce FL 34982 43' LucQd�P4� F L Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residentla" PERMIT APPLICATION FOR: Shutter Address: 7321 Sea Pines Ct Legal Description: POD 11 PUD I AT THE RESERVE WILLOW PINES EAST AT PGA VILLAGE (PB 43-13) LOT 12 Property Tax ID#. 3322-506-0014-000-2 Lot No.12 Site Plan Name: Julio Toro Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DE�"AILEb DE5CRIPTION,t�F'WORK ' " Install 11 Accordion Shutters Additional work toe e orme under this permit c ec all~t p y. ❑HVAC Ei Gas Tank Gas Piping _Shutters ❑Windows/Doors FlElectric ❑Plumbing Sprinklers El Generator Roof Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ 5470.00 Utilities: Sewer Septic Building Height: A a gCON "RACTOR ' �� Wf� R/LESSEE. AM Name Julio Toro Name: Michael Heisenberg Address:7321 Sea Pines Ct Company: Expert Shutters City: Port St Lucie State:FL. Address: 668 SW Whitmore Dr Zip Code:-34986 Fax: City: Port St Lucie State:FL Phone No.772-242-1657 Zip Code: 34984 Fax: 772-871-0990 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: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 5UPPLEMENTSA�.COi�STI�tJCT��N �.IE�I.AW IN�QRMATI�N.��� DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Tilteco.lnc• Name: Address: 6355 Nw 36th st#305 Address: City: Virginia Gardens State: City: State: Zip: 33166 Phone: 305-871-1530 Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: 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 len or an attorney befo commencing work or rPeoTftgy9ur Not' a of Commencement. /- 44-- :Z s _Signa re of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDAl j LU STATE OF FLORIDA < j LuC'/n COUNTY OF T COUNTY OF The forgq*ng instrum nt was acknowledged before me The for�ing instrument was acknowledged me this ay of 20 �by thi —day of 20 by Michael Heissenb�g Michel Heissenberg (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Flori a (Signature of Notary Public-State of Flori a Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission Nv HEATHER VI mmission No I (Seal�EATHER VIZZO NOTARY PLILIC �o10-Y4&'o NOTARY PUBLIC �. IDA AMER,-''V'o ORID Revised 07/15/2014 -0R Comm#FF176266 ��Comm#FF176266 ce 19 Expires 11/13/2018 Jypd�E�-.1 _xpires 111131201 11 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS