HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: ��" 1Permit Number: �� I
Building Permit Application
Planning and Development Services APR 7 2@1
Building and Code Regulation Division PER.1,AIT7ii8!G
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie Gounb,.,, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT-LOCATION:
Address: q1 N Lw\kS W MAI Q)V-t- Ir
Legal Description: 'Pw 7 Zb a0 sx ma pnia.1Q . I
&V\l LOT 110- 14)
Property Tax ID#: Lot No. Q-7
Site.Plan Name: L Block No.
Project Name: �(1
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF ( l0) MIAMI DADE APPROVED ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:
Additional work toa performed under this permit-check a appy:
HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric ElPlumbing' Sprinklers Generator Roof Q Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: f
Cost of Construction:$ -7 0 0 �>o t)v Utilities: _Sewer F]Septic Building Height: 15
OWNER/LESSEE: CONTRACTOR:
Name Name: SAMULEZAZA
Address: L_1 n a Ljsw Company: JUST SHUTTER IT INC
City: PoC T S+ • bU`Q_kf_ State: FL— Address: 1029 SW S. MACEDO BV
Zip Code: agQJU Fax: City: PORT ST LUCIE State:FL
Phone No.-7-72-2551 - ROIja 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 County makes no representation that is granting-a.permit-will.autho.rize-the_permit_holder_to-b.uild_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 mustbe recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, cons with-le der or an attorney'before
comm6cing wor or re(:czrding your Notice of Commencement.
s
nature of Owner ssee/Contrac or s Agent for C&Wer nature of Contractor/License Ho
FLORIDASTATE OF FLORIDA
COUNTY OF 51 f �(�GCOUNTY OF
The fo g instru ent yeas acknowledged efore me The fo ing instrument was acknowledged before me
this day of (�C 20 Lt this�day of AV L 20 J by
(Name of person acknowledging) (Name of person acknowledging)
._ , 11111illlll///
C ' -�•G{,�'� ,��\`�1 M1CME� �Zi A�11N1111N1eN���///i
i nature of Nota Publ'c-State of Florid ••° nature of Notary Public- to of Florid �'' ••••°•• O
( .g Notary •�.I COMM/ '•. �'�... •.pOMM/SSj'••C�
pugusrSs���.�o • ��y gusty oy
Personally Known OR Produced&MIcation , ally Known OR Produced Wn511 catioVq�c'� w
Type of Identification Produced —n • �' � f Identification Produced(�/� as • �•
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Commission No. ( S �. ( ;� �s?�. ,Corr�ission No. �1 05,
XV
Revised 07/15/2014 //1"i'`� op
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE : ,MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS