HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLEI FO MU B 7pLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ._.
tS:..
1 �.,
Building. Permit Ap,p�i,catign
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
Address: % 7 < Cgiff_f� /j 4,/ O"z
Legal Description:
Property Tax ID #: 3 ?e o_\ f7tf Q — 80 2,9 " 00 O
Lot No. a
Site Plan Dame: !u
Project Name: G✓/�/�� '� ��
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION 'OF WORK:
INSTALLATION OF () MIAMI DADE APPROVED ACCORDION SHUTTERS
'CONSTRUCTION INFORMATION:
Additional work toa er orme under this permit –check a appy:
HVAC E] Gas Tank Das Piping Shutters ❑ Windows/Doors
11Electric ❑ Plumbing Sprinklers L_f Generator Q Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
o ,
Cost of Construction: 7 0 �Q Utilities:Sewer Septic Building Height: 15
OWNER/LESSEE:
CONTRACTOR:
Name VVArrP WDA I(C4ie
r
Name: SAMULEZAZA
Address: '77/t/
Company: JUST SHUTTER IT INC
City: Po/.f- SL [li e
Stater/
Address: 1029 SW S. MACEDO BV
Zip Cod/q S' Fax: 'meq'
City: PORT ST LUCIE State: FL
Phone No.%Z" ZO l- — °i �, (
l
Zip Code: 34984 Fax:
E -Mail:
Phone No. 772-201-9919
E -Mail: JUSTSHUTTERIT@GMAIL.COM
Fill in fee simple Title Holder on next page
(if different
State or County License: 24294
from the Owner listed above).
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU T N LIEN LAW INFORMATION. J
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: of Applicable
Name:
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 th first inspection. If you intend to obtain financing, consult with lend r or an attorney before
comme�ng woP9 or r cording your Notice of Commencement. 9 7 11-1%
Xnature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF �S 7 J
' At
The or19,%-
g instru knowledge ore me
this 1 day of 1` 20/ rL by
(!Name of person acknowledging )
Suture of Contractor/License Holder
STATE OF FLORIDA�^� 164L�
COUNTY OF U
The forgoing instrume t was acknowledged before me
this ��ayof 20 irby
(Name of person acknowledging)
(Signature of Notary POblic- State of Floc* `�ICHE��r//i
(Signature of Notary Public -tate of Flor;; \e"WCHEZ11,10///�
Personally Known.�OR Prod \ IdaSiti c•.F
use
Personally KnownL OR ProduQ&'uP"�'�tf 1 `• c� ri
Type of Identificationproduced o : Pu o
ype of Identification Produced ' e �• P BUs/„�0,�• .nom
Commission No. �sq2
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Revised 07/15/2014
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