HomeMy WebLinkAboutBuilding Permit Application V
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
s
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
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION: h
!Address: 7(o53 C-11'V.P-Y\bYiCf ,kr'.
Legal Description: ?0n IG PUD 11 G r&En)0azX1 L-UT IUS
Property Tax ID#: 33='Aa— -700- WO - Doti-t Lot No. l DS
Site Plan Name: roah M&Y-'1 Block No.
Project Name: E-Lo-kY\ p\A0A-A'lYi•2Z
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Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installation of(3)Miami Dade Approved Accordion Shutters
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CONSTRUCTION INFORMATION:
AcIclitional work to be nertormed un er t Is permit-check all appy:
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HVAC Gas Tank [:]Gas Piping Shutters Windows/Doors
11 Electric El Plumbing Sprinklers E]Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ '5o a d 15
Utilities: Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR: ;
Samuel Zaza
Name 1=�-rt�tln �cjt,�-'t�n'GZ Name: '
Address: —1(0 c,:5 3 Company: Just shutter It Inc
City: Port St Lucie State:FIL Address: 1608 SW Taurus Ln
Zip Code: 34986 Fax: City: Port St LucieState: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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: j
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:
i 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 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.
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
i!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 firi inspectin. If you intend to obtain financing,consult with lender or an attorney before
commencing ork or r%ordkTVour Notice of Comm emen .
Signature f Owner/Agent/Lessee nature of Contractor/License Holder
S OF FLORIDA 51 STATE OF FLORIDA 1 I
COUNTY OF COUNTY OF
The for g instr ent a acknowledged before me The Oagy
instr ent a acknowledged before me
this gi day of 20}�by this of 20_a by
5 ` I !SA-)MA,�L --IA--� P(
(Name of person acknowledging) T (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary
Public-State of Florida)
Personally Known OR Produced Identification Personally Known �C l OR Produced Identification
Type of Identification Produced Type of Identifications Produced
Commission No. °�0� 20`; @ � MICHELLFREDER gommission No. 1 6 s a :PueGc (Se �ELLFREDERICKS
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* MY COMMISSION a FF 5422 * MY CISSION 9 FF 90
5422
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION . SEAJURTLE MANGROVE
COUNTER' REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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