HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:(-T Permit Number:
Building Permit Application MAR 23 420w
Planning and Development Services PERR/iiT-Ti[lG
Building and Code Regulation Division St. Lucie Count1, F;
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: %_749 F>OIIIV �y�y1��1rr1
Legal Description: bhp 37 AT 2[1AF Q1S YVe j�n 17 SPS1Q,31a&3 101
7 y (ozz- 3 21- 2-2-7,:1)Property Tax ID#: 33 S�1- ( M- obl-I- (5OC)- Z Lot No. Z�
Site Plan Name: zo4cl/z Block No.
Project Name: Ge 2�
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF (_al ) MIAMI DADE APPROVED ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit-check all that appy:
HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric El Plumbing Sprinklers Generator F] Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ -7 (-J'O �� Utilities:cnSewer Septic Building Height: 15'
OWNER/LESSEE: CONTRACTOR:
Name P f4,ci/ Name: SAMULEZAZA
Address: r6_7Y9 (3,fl t y Company: JUST SHUTTER IT INC
City: par State: ► Address: 1029 SW S. MACEDO BV
Zip Code: 311,% Fax: City: PORT ST LUCIE State:FL
Phone No. `7"7 Z- 2d 1- 99 l g Zip Code: 34984 Fax:
E-Mail: — Phone No. 772-201-9919
Fill in fee simple Title Holder on next page(if different E-Mail: JUSTSHUTTERIT@GMAIL.COM
from the Owner listed above) State or County License: 24293
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 Counter 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 work or recording our Notice of Commencement.
s
=ATE
a of Owner/Lessee/Contra r as Age for Owner ure of Contractor/License Ider
OF FLORIDA > STATE OF FLORIDA
COUNTY OF cS7 mel-e COUNTY OF �S z cfel e
The forgoi�instrumen was acknowledged b fore me The forgoipq instrument was acknowledged before me
this�46ay of rr+^ � 20 t' by this acs day of 01 A,-C-h 20 (7 by
(Name of person acknowledging) (Name of person acknowledging)
•
r
(91giiature of Notary
`'Pu c-State of Florida) (Signature of Notary Public-
'ate of Floda)
Personally Known �c`' OR Produced Iden` gtlUlli,,_ Personally Known �`/ OR Produced Ide��ljq��pR
Type of Identification Produced ��� r//— Type of Identification Produced ` y
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Commission No. (S� G�MMISS/p�.9j� ommission No. � �'�p� �:"MISS/pay;.C,�/ice
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Revised 07/15/20149 0 #FFg054 � � #FF.9o5422 *�
REVIEWS FRONT ZONIN&iK PLANS VEGETATION SEA�Qr �•S A E
COUNTER REVIEW ��l��I 1jV► REVIEW REVIEW RE IE III W
DATE
COMPLETE
INITIALS