HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABL INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Ls1 1 '7 Permit Number:
Building Permit Application
I
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
PROPOSED IMPROVEMENT LOCATION: I I I
Address:
Legal Des
Property Tax, ID #: 333`fi' M_ 0031- obo - S Lot No.
Site Plan Name: Dcv A- WYXkh-a,1c1Y Block No.
Project Name: DO.-\.AOk ' WY\ k 4 -a -LC -c-
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: f. `I' I
INSTALLATION OF MIAMI DADE APPROVED ACCORDION SHUTTERS
ya e - ,4-d-fxFG/-P a�
CONSTRUCTION INFORMATION:
I
Name wVi4 ak.C'r
ACIC11tional work to be nertormed under
HVAC Gas Tank
this permit- check
[:]Gas Piping
all that appy:
Shutters] Windows/Doors
Electric ❑ Plumbing
Sprinklers
FIGenerator Roof Roof pitch
Total Sq. Ft of Construction:
E -Mail:
Sq- Ft. of First Floor:
Fill in fee simple Title Holder on next page (if different
Cost of Construction: $ t /d, k(7d
�� Utilities: Sewer 0Septic
Building Height: 15'
OWNER/LESSEE:
CONTRACTOR: .
Name wVi4 ak.C'r
Name: SAMULEZAZA
Address: &7p9 (�cd(1., &Kn i or (ZP•
City: State: eL-
Company: JUST SHUTTER IT INC
Address: 1029 SW S. MACEDO BV
Zip Code: 3�'i�t� (o Fax: -
City: PORT ST LUCIE State: FL
Phone No. _ 772 - a0 l '� 9q [R
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
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 -CONSTRUCTION L-IEN-LAW INFORMATION
-
DESIGNER/ENGINEER: 014Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: ► /yNot Applicable
BONDING COMPANY: blot Applicable
Name:77/'
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.
;I
The following building permit applications are exempt from undergoing a full concurrency review: room additions, i
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
commencine work or_recordinia vour Notice of Commencement. f
/L/—, s
Sign ure of Owner/Lessee/Contractor as AFferiffor Owner Signa a of Contractor/Licens,e Holder61/
STATE OF FLORIDA STATE OF COUNTYOF
;r
COUNTY OF 5� , �-v
The fo g instrument was acknowledged before me The forgoing instrument was acknowledged before,, me
this ay of 20 t7 by this" day of &�: A 20 7 by
S4VW04( . A.A-Uyk-
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. j
9 S/�',� �1P:;e�% MICHELL FRET
MY COMMISSION
* 9 * EXPIRES: A=
Revised 07/15/2014
(Name of person acknowledging)
%
(Signature of Notary Public- State of Florida )
Personally Known OF
Type of Identification Produce
G;
mission No. ,/r / Q
2, 2019
Produced Identification
(SMMELL FREDERICKS
MY COMMISSION # FF 905422
6ande4?ht� Audaet►�abrySenic�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS