HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICAB E.INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 1 Permit Number:
Building. Permit Application
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:
Address: -1(00-2 01 -
Legal Description: Po D Iq_ kb 11 bcy-c (ap$ 41-5) LO'r -1 o 6o,� Iq ;Rr, - (cq9)
Property Tax ID #: _'�SQa - ')Ob- OC)iS - coo -3 Lot No. -16
Site Plan Name: 77r)"f\ O�YI'Q_k I Block No. lot
Project Name: `EOY\n 0' Yet
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF (J]_) MIAMI DADE APPROVED ACCORDION SHUTTERS
lvo,,o -- A:k, .Q 2 !.�e
CONSTRUCTION INFORMATION: h,
Additional work to be ne-i-tormed under t ispermit - check all appy:
HVAC LJ Gas Tank E]Gas Piping Shutters a Windows/Doors
Electric O'Plumbing OSprinklers EGenerator QRoof Roof pitch
Total Sq. Ft of Constructio : Sq. Ft. of First Floor:
Cost of Construction: $ S % 00 93 Utilities: Li Sewer Septic Building Height: 15
OWNER/LESSEE:
CONTRACTOR: r' ..I
Name Ung_4
Address: 8rPehhrt2r Cir
Name: SAMULE ZAZA
Company: JUST SHUTTER IT INC
Address: 1029 SW S. MACEDO BV
City: Purl` SUP State: �L_
Zip Code: 4Rlo Fax:
City: PORT ST LUCIE State: FL
Phone No. -7'7 P - o1O t - qq t q
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: 24293
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL -CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
',,:� of Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
SEA TURTLE
City: State:
City: State:
Zip: Phone:
REVIEW
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Not Applicable
BONDING COMPANY: of Applicable
Name:
DATE
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 yogr property. A Notice of Commencement must be recorded and posted on the jobsite
before the fi t insp ction. If you intend to obtain financing, consul with lender or an attorney before
commencing work r recl5r'�ling your Notice of Commencement. 0
as AAWt for Owner
Contractor/License Ho
STATE OF FLORIDA / STATE OF FLORID
COUNTYOF l (,��„f u COUNTY OF �� CCK
The for ��g instrum t as ac l nowledged , ore me
this '4Say of 20 -Lby
S VAIVUAk, ,
(Name.of person acknowledging
(Signature of Notary Public- Stat of Florida )
Personally Known � OR Produced Identification
Type of Identification Produced
Commission No. d a.�—(Seal)
,P""" =:moo MICHELL FREDERICKE
Revised 07/15/2014
EXPIRES: August 2, 2019
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The forgping instrument was acknowledged before me
this ,P day of W20 by
(Nam o#person-acknowledging)
(Signature of Notary Public- State of Florida )
Personally Know%• ORi Produced Identification
Type of Identification Produced
Commission'No.`� 06Wd- (seal)
;Ay
MICHELL FREDERICK'S
s,
9t EXPIRES: August 2, 201A9
jf(0*0+�' B0nd;dThrP5W eiNa6rySerfL%
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS