HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE IN O MUSTE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: fiI J7. Permit Number:; I /o�
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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 xx
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PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION: 4
Address: 'l l o q Vy1.0_wiS�� l>f I
Legal Description: V X L aT 3 oZ
Property Tax ID #: 3c�.o`� — Gv05 - O IL4 p6 Lot No.
Site Plan Name: (�aAAA_ L� Block No.
Project Name: hOUS�gz k
Setbacks Front Back:
Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: 1 1 1
Installation of (I$ Miami Dade Approved Accordion Shutters
CONSTRUCTION INFORMATION:
AdClitional work to up nprtormed under this permit— check all appy:
HVAC EGas Tank Gas Piping Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
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Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ %, `As o 6 U Utilities: Sewer Septic ! Building Height: 15
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OWNER/LESSEE:
CONTRACTOR.
Name
Name: samuelzaza
Address:'7_Ldq (YA2APnPM 'T) Y-.
Company: Just Shutter It Inc!
City: Port St Lucie State: FL
Address: 1608 SW Taurus Lni
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.coin
from the Owner listed above)
State or County License:1 24293
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: �o
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: I =Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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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 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.
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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 recordedi and posted on the jobsite
before th irst insyFection. If you intend to obtain financing, cons u with lender or an attorney before
commen n wor or r-ecorcling your Notice of Commencement. It I
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re of Owne
ature of Contractor/License
STATE OF FLORIDA STATE OF FLORID%�
COUNTY OF �L 1, C v—� COUNTY OF
The rg i-instru t wa a knowledge before me The g $,i g instr t wasf�cknowledged before me
this day ofd 20 by this day of "( 20__0 by
`A -
(Name of person acknowledging)
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(Signature of Notary Public- State oldFlorida )
Personally Known W OR Producs!14 tifisM IC
Type of Identification Produced tl
i fj ,/.) * EXPIRES: August 2, 21
Commission No. S l �- p' OF ) Bonded Thru 8401 Noary se
Revised 07/15/2014
(Narf Tof person acknowledging)
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(Signature of Notary Public -,'State of Florida )
Personally Known � '', OR Produced Identification
Type of Identification Produced 4o .=.N'/
G, �q *' * MY COMMISSION A FF 9854y�
Eommission No. 1 l d S! d aI XPIRES:August2,2019
es ��l0,01 SolidRlt�SyggerNobryServices
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED