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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c L Date: 3 `D-1 Permit Number: RECEIVED NCM' 0 3 2016 111111 ll'I"'Illllll 01 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 PROPOSED (IVIPR01/EIVIENT LOCATION Address: 7380 S OCEAN DR 622 Legal Description. DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 622 Property Tax ID#: 3522-607-0036-000-6 Lot No. Site Plan Name: Lina Garcia Block No. Project Name: Setbacks Front Back: Right Side: Left Side: ,DETAILED".QESRIPTION OF WORKf Install 1 Roll-up Shutter C=al RUCTION INFORNIATLO'N _. wor 'toe performed under this permit—check o appy: HVAC Fi Gas Tank Gas Piping Shutters Q Windows/Doors Electric ❑Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 855.00 Utilities:n Sewer 0Septic Building Height: 80' OWNER/LESSEE w `CONTRACTOR ., Name Lina Garcia Name: Michael Heissenberg Address:7380 S OCEAN DR 622 Company: Expert Shutters City: Jensen Beach State:FL Address: 668 SW Whitmore Zip Code: 34957 Fax: City: Port St Lucie State:FL Phone No.954-649-0938 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. SC PL MEN I CQNSTRUCTfON' EN LA1ltI 1NFC} MAT[UN Y , ... 8 v DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable Name: walterTillit Name: Address:6355 NW36th st Address: City: Virginia Gardens State: FL City: State: Zip: 33168 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 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 inspection. If you intend to obtain financing, consult with le ran attorney before commencing wor rdJng your N06ce of Commence s _Signature of 0 e ' ssee/Agent y 4ignature of Contr'ctor/License Holder STATE OF FLORIDA � J � STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument ''kngqwledgef� before me The fo,going instrument was acknowledged before me this day of ��V t M[ ! 20 r by this0 day of N/6 kR 1A b 20 by Michael Heissen4g Michael Heissenberg (Name of person acknowledging) (Name of person acknowledging) ZZ" (Signature of NotaryPu lic-State of Florid (Signature of Nota7Pub c-State of FI ) Personally Known J OR Produced Identification Personally Known OR Produced Identification Type of IdentificationProducedType of Identification Produced/ Commission No. 't`-Y' I7 GA(D e,4�R� I) HEATHER VIZZO Commission No. � 61A,� HEA( A VIZZO NOTARY PUBLIC gp.4tV6iS o �., x� t,iO i ARY PUBLIC ' ESTATE OF FLORI A .f 1 11k _,,.�OF FLORIDA Comm#FF1762660 �g'e1 J ommt FF176266 Revised 07/15/2014 `r'�✓��i�� Expires 11/13/2018 d C 1111312018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS —_.._.._._.__ SCHEDULE VC: POURED CONCRETE OR C FQ.UT FJLLED CELL CONCRETE BLOCK WAIL 13UILD114GS (USE.. 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LY3t:"is1•.Gi'QRQ!i PFFUrti Hrt.JEX Ttt;{EHIF1;t41TE.3;t;SC;S{i.;;;;TU2F.t5 . UF:IC:NED TU til:FPi)RI Vxh'dD Vg FORUE Jt1 NO'Jl+US PEt1 VHiT Fi7f3i!31:Srtt(IT£R tiEffxttl A7 F#.}SN,;AMt3S. SF.E'tHisSHFel Foil 4'vrVALU?S t SIDE (. __ v7C --w VY +y>1`tt� iu7Itt i4ttSG4 9s111Ek: it: fNas It gr=Ynfan�Y H�frr rn + .............. ..................... ._...,.. _...... ... ___. ...... ..... .. . .._.......... ._...... .. . s ti r1 Tf ,. 1 *Nautilus "M.-v Rolling Shutter System L L'# ar:at--..•`.NEXPERT SHUTTER SERVICES INC I, �'.�� ^� '���1'j... '�" �•L:,{r 71�^i.ItN.,.k NUII=�CNINL' .�x1('AY •.•_ •,•• {' :4r� <,yr• yx, �-�'a;. . B.:n © ah �IiC `h i<: .._... 'f'Q'T• �I,V Ili § `,� 'Tk!lXF6W ..^,..,...�. II em wY f}U ,:1 �' .—:..__ /f _....««.,._. ,1 ��i r ;{�tYrt `:.cr<•'.+i� r.«f�.:` _