HomeMy WebLinkAboutBuilding Permit Application 7
ALL APPLICABLE INFO vMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1Os-
�bG ECE V
_. .�.._.. . ._. .. MAR 3 0 2017
Building Permit Application
PER;'!iiTTlf\7G
Planning and Development Services St. Lucie County, FL
Building and Code Regulation Division
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: 7( b7 G/e �.�'�j`� ►�
Legal Description: /%
Property Tax ID#: d O`— �V ^ G O g 7 Uo O 3 Lot No.�
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: -Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF,( )'MIAMI DADE APPROVED ACCORDION SHUTTERS
CONSTRUCTION INFORMATION;
Additional workto e e orme under this permit—c ec a appy:
HVAC be
Tank ❑Gas Piping �_Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$T ) .d0 Utilities: _Sewer F]Septic Building Height: 15
OWNER/LESSEE: -CONTRACTOR:
Name Name: SAMULEZAZA
Address: 7 4ylCompany: JUST SHUTTER IT INC
City: 19G4— State:� Address: 1029 SW S. MACEDO BV
Zip Code: "7 Y ( Fax: T, City: PORT ST LUCIE State:FL
Phone No. — Zip Code: 34984 Fax:
E-Mail: Phone No. 772-201-9919
Fill in,fee simple Title Holder ons next page(if different E-Mail -__-_ @ L.COM
• JUSTSHUTTERITGMAT
from the Owner listed above) State or County License.�
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL-CONSTRUCTION--LIE--N:zLA-W--INFORMATION.-
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _KNot Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip'_; Phone: Zip: I?Ko.fte:
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 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 wodk or recording your Notice of Commencement.
s
Si re of Owner/Lessee/C(Wtractor as Agent for Owner Signature ofContractor/License 4d der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF (CA COUNTY OF V� &C
The for goA instrumea was acknowledgeybpfore me The forgo. instrument was acknowledged before me
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day M�I`_l5kl 20 LLby this ay of I_4AA-6-4-- 20 t7 by
(Name ofperson acknowlbdging)' (Name.of person acknowredging
(gignature of Notary Public-State of Florida) (Signature of Notary Public- tate of Florida
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Personally Known OR Produced Id rsonally Known ica
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Type of Identification Produced X
of Identification Produced -;L.,.: CONVIZ ;ik'So-
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Commission fission No.
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Revised 07/15/2014
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REVIEWS FRONT ZONING SUPLANS VEGETATION SEATURTLE 101,4 ROVE
-COUNTER -REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS