HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: 3�2(��11 Permit Number: 1�0 •�33�
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Building.Permit Appficat.1011
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 Residential xxx
PERMIT APPLICATION FOR: Shutter
-PR'oP-0-SES IMPROVEMENT10CATTON: j
Address: frt,()(o (jVttn hT1tC O t ri'- �p{,' gr LUQA`e..,! �7 3q qg6
41 -Q'
Legal Description: N) (cl Rip lI C eny)ntr (26 1 (» -it
CDC 1C173 -2Q`_g) :Zc00(0 GOUQbest CT 26rfi Sak— LVa..tf_ , EL -NOM
Property Tax ID#: ?-32.2.-)60 007( - oOn 6 Lot No. `� I
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S#e Plan;ftr : W a iam Modo ftw D*k'Rol.
Project Name: Wk k1 L^Lrn t13 nAA
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Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: i
INSTALLATION OF ( ) MIAMI DADE APPROVED ACCORDION,SHUTTERS
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CONSTRUCTION INFORMATION: j
Additional work toe nerformed under this permit-check all appy:
HVAC Gas Tank ❑Gas Piping Shutters a Windows/Doors
DElectric 00lumbing Sprinklers Generator' Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ �.'' d Utilities: _Sewer Septic Building Height: 15
OWNERAESSEE: CONTRACTOR:
Name W►11 ia1Y\ fflMV)&QA4 Name: SAMULE ZAZA
Address:"I(n(�69 Company: JUST SHUTTER IT INC
City: ffiO--SN-: 1. -CAQ State:E�_ Address: 1029 SW S. MACEDO ®V
Zip Code: Fax: City: PORT ST LUCIE State:FL
Phone No. '771- 2 D I CO/l y 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:'-9'� 2.`Y L t73
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAIL,CONSTRUCTION LIEN LAW INFORMATION: I 9
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: of 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 fender or an attorney before
commencinR work or recording our Notice of Commencement.
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nature of own er/Lesse Co tactor as Ag ntor Owner S' ture of Contractor/License. old
STATE OF FLORIDASTATE OF FLORIDA l
COUNTY OF 5' / A (,Ie COUNTY OF
The f9,r,gg instrument was acknowledged before me The forgoio instrument was acknowledged before me
this�day of /'�'G— 20 /7by this/c>'eay of ✓2G— 20 /T by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- tate of F` tea) `•CC�l M ,�O (Signature of Notary Public-State on as
00 'ma�y �s,�+�•��` ` • � ®MM� +,'q�
Personally Known W_ _ Prod t IGfentif, •_9 ersonally Known��OR Jaa i�ted Ide ac
Type of Identification Produced __o 'cy Z n JFype of Identification Producto—• r
Commission No. �(� (�' G{ )��O�Q �'� commission No. (7S e p ��-
Revised 07/15/2014jO1111 �0� /!` OF F
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS