HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICAB%E INFOUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED , ; I
Date: I 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
PERMIT APPLICATION FOR: Shutter
PROPOSED -IMPROVEMENT LOCATION:
Address:
Legal Des
;idential xx
Property Tax ID #: 5�6l - o I nn3�� I " 07JO —O Lot No. a�
Site Plan Name: � � l:D,two 1u; i Block No. C
Project Name: Civ A rAA T Y A /
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: li i
Installation of (q) Miami Dade Approved Accordion Shutters
CONSTRUCTION INFORMATION: �? ;
Additional work to be nertormed under this permit —check all thiat appy:
HVAC Gas Tank E]Gas Piping�_ Shutters ❑ Windows/Doors
Electric E] Plumbing Sprinklers Generator ❑ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ (01 6 a 5 - tt3
SFt. of First Floor:
Utilities: Sewer Septic Building Height: 15'
OWNER/LESSEE:
CONTRACTOR:
Name C,�A kkc� CA.,VY\iDI'1Q.V)
Name: Samuel Zaza
Address: 0,6'' a 'OM, O LM+ QI wQ
Company: Just Shutter It Inc
City: Port St Lucie State: FL
Address: 1808 SW Taurus Lnl
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: lustshutterit@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: Phohe:I
I. 1
FEE SIMPLE TITLE HOLDER: 4 Not Applicable
BONDING COMPANY: i Not Applicable
Name:
Name:
Address:
Address: I.
City:
City:
Zip: Phone: I
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 thepermit 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 resti fictions 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 1
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 fip�.aancing, consultw1'th lender or an attorney before
commencirk work civrecordFlg vour Notice of CoMmencement. ® 1Z
re of Owner/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF 4.1 , C u C �e
The forgoing instrument w s acknowledged before me
this day of 6 UttV 20 J1 by
(Name of person acknowledging)
(Signature of Notary Public- StatJ of Florida )
Personally Known i" / OR Produced Identification
Type of Identification Produced
Commission No. D US r o,p !%gal) MICHELLFREDER
MY COMMISSION # FF
* i * EXPIRE • Nigiiat9
BondeOTDroBud9e4Notary
Revised 07/15/2014
ntractor/License Holder
STATE OF FLORIDA
COUNTY OF J� -
The for
instrument was, acknowledged before me
this I day of 20-M by
I
(Name of person acknowledging)
I,
I �
(Signature of Notary Public -{State dif Florida )
Personally Known Xl/
Type of Identification Pr(
Commission No
Services
R Produced Identification
SeaRICHELL FREDERICKS
* MY COMMISSION # FF 9D5422
Bonded Thru Imoot Notary Services
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