HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' 0 Permit Number:
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Building Permit Application AUG 6 21G),?
Planning and Development Services
Building and Code Regulation Division PEi f"r,I-I r iP1U
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie COUntA!, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: -7$`} Sa bW La /-Qa Ur.
Legal Description: (',Y -� - ��'IO�S�_ 1 - l �T �-1 1 •�i 4C�
Property Tax ID#:�02BaI ' ci 0 1 - 00`47- &510 Lot No.�_
Site Plan Name: a,6nmd Grib ber Block No.
Project Name: Ronald j�m b21r
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installation of(IT Miami Dade Approved Accordion Shutters
CONSTRUCTION INFORMATION:
Additional work to e e Orme under this permit-check a appy:
HVAC 11 Gas Tank Gas Piping Shutters ❑Windows/Doors
L7Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor: --
Cost of Construction:$ ��P 7y� �b Utilities:0Sewer 0Septic Building Height: 15'
OWNERAESSEE: CONTRACTOR:
Name Q_br\cAck �'1mbk-f- Name: Samuelzaza
Address: -1 Q q a, Lo Y_L 'O r. 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
before the first inspection. If you intend to obtain financing, consult ith lender or an attorney before
commencing w rk or-Kcording your Notice of Commencement.
Sign ure of Owner/Agent/Lessee Signa re of Contractor/License Holder
STATE OF COUNTY OF FLORIDA 7:4- I . . „ ,SQ' COUNTY OF FLORIDASTATE OF I
The for ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this l day of�}�\J_-E— , 20 14 by this l day of 20_1A by
(Name of person acknowledging) (Name of person acknowledging)
(Signatur of Notary Public-State of Florida) (Signat a of otary Public-State of Florida)
Personally Known._)X_OR Produced Identification Personally Known�0�OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. QG l (D"70(o (Seal) C i . n No...AG_JoXo-1 (p (Seal)
'Al►u� Notary Public State f Florida
My commission GG 126706
Revised 07/15/2014 , Expires 07120/2021 10K' Notary Public State of Flor a
Parrish A Nichols
Mv commission GG 1267
.e Wi E. rtes
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION S
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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