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ALL APPLICABLE 1INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0� S �O Permit Number: o? Dc2
Building Permit Application AUG 15 1016
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
PR®�P®SED IMPROVEMENT
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Address: 9940 S OCEAN DR 308
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 308 AND .7875 PERCENT INT IN COMMON ELEMENTS
Property Tax ID#: 4502-502-0035-000-8 Lot No.
Site Plan Name: Kevin W Perras Block No.
Project Name:
I
Setbacks Front Back: Right Side: Left Side:
Install 1 Accordion Shutter
, (7NGiN, VCOSUowA
Additionalworkto e performed
under this permit—c ec k a appy:
HVAC Gas Tank ❑Gas Piping Ir I Shutters a Windows/Doors
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Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S�Ft.j of First Floor:
Cost of Construction:$ 2632.00 Utilities: LJ Sewer Septic Building Height: 110'
®V1/NER=�LLSSEE �sy kYr r
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Name Kevin W Perras Name: Michael Heisenberg
Address:9940 S OCEAN DR 308 Company: Expert Shutters
City: Jensen Beach State:FL Address: 668 SW Whitmore Dr
Zip Code: 34957 Fax: City: Port St Lucie State:FL
Phone No.305-801-1782 Zip Code: 34984 Fax: 772-871-0990
E-Mail: Phone No. 772-871-1915
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Fill in fee simple Title Holder on next page(if different E-Mail: Callex p @
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.
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S'l1PPLENI �NT�+L CQ�NSI"RUCl ION LIEN LAu1% IiNF®,RNIATI®N: 7{ g -T '
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Tilteco.lnc. Name:
Address: 6355 NW 36th St#305 Address:
City: Virginia Gardens I State: FL City: State:
Zip: 33166 Phone: 305-871-1530 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: I Address:
City: I City:
Zip: Phone: Zip: Phone:
I certify that no work for 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 inspectio f you intend obtain financing, consult with lender or an alto ney before
commencing orkpr-reco4rig your N ice of Commencement.
S
_Sign ture of Owner/ essee/Agent Signature of C t r/License ofer
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STATE OF FLORIDA - STATE OF FLORIDA j
COUNTY OF I JT: Lu U.Q. COUNTY OF ��
The forgoing instr ent was acknowledged before me The forgoing instrument was ac`k�nowledge before me
this ay of �- 20 &by this Jt_�ay of T 20 �i by
Michael Heissenberg Michel Heissenberg
(Name ofperson acknowledging) (Name of person acknowledging)
ox_7�
(Signature of Notary ri )
Public-State of Flo Id (Signature of Notary Public-State of FI
Personally Known X I OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Pro1duced Type of Identification Produced
Commission No�I Y4., (gg- T)HER VIZZO Commission No� l?�'
o NOTARY PUBLIC L41L HEAT � �I71O
I ee ti STATE OF FLORIDAA9Ar P1r,0, NOTARY PUBLIC
Comm#FF17G26G - Md
Revised 07/15/2014 s�NCE'W" Expires 11113/2018 �Cel��d Exp266
Comires
11!1312018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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