HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (_0 - Permit Number:. i.w
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Building Permit Application i U N.0 7 ''9s'
Planning and Development Services P E 1-11.1411 i N]G
Building and Code Regulation Division St. Lucie Colinty, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION: -
Address: 8613 Tompson Point RD Port St Lucie,FL 34986
Legal Description: TOMPSON POINT PUD AT PGA VILLAGE(PB 43-10)LOT 23(OR 3929-2820)8613 Tompson Point RD Port St Lucie,FL 34986
Property Tax ID#: 3327-704-0024-000-8 Lot No.23
Site Plan Name: Victor K Chun Block No.
Project Name: Victor K Chun
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installation of(18)Miami Dade Approved Accordion Shutters
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all t1i apply:
[1HVAC Gas Tank [:]Gas Piping W1 Shutters ❑Windows/Doors
Electric Plumbing E]Sprinklers Ilenerator 13—Roof
Total Sq. Ft of Construction: Sof First Floor:
Cost of Construction: To Utilities:Sewer Septic Building Height:-15,
OWNER/LESSEE: CONTRACTOR:
Name Virtor K Chun Name: SarnuelZaza
Address: 8613 Tompson Point RD Port St Lucie,FL 34986 Company: Just Shutter It Inc
City: Port St Lucie -State:FL Address: 1608 SW Taurus Ln
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No.772-201-9919 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 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
beforehhe first inspection. If you intend to obtain financing, consult with lender or an attorney before
commiMcinmork or recording our Notice of-Commencement.
AJ Z� ",-A — ) 0
S' nature of Owner/Agent/Lessee Sign re of ontractor/License Hol
STATE OF FLORIDA1 e STATE OF FLORIDA
COUNTY OF ,� (,L e `"eCOUNTY OF C�. . A--
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 73 day of p%,A 7\-,, 20_LJ by this day ofy'v 6�4 20_q by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known_L(y OR Produced Identification Personally Known A'_34-� OR Produced Identification
Type of Identifications Produced Type of Identification Produced
Commission No. i a S �. �aR( I) MICHELLFREDERIC Commission No.�/G�d,� a (Seal)
°'� �°.••••• � MICHELL FREDERICKS
* _ * MYCOMMISSIONI+FF 22
201
rFOFFl.°4\oF s0eaeainro su9got NotqrY flerriesa EXPIRES:August 2,20 19
Revised 07/15/2014OFFL°� uonaean,ru8„a9et�agq,ygBry��
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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