HomeMy WebLinkAboutBuilding Permit Application .i
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ALL APPLICABLE I FO MUT E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6 Permit Number: 1 1� l� ^ 01
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 j
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION: j
Address: qaq Sr �IPXt�dOL ►� I ---
Legal Description: P-mw PC r�_ UIn l•I- � �L �2: L.Or H S f
Properly Tax ID#: Coq J — CXCO' 6 Lot No. y5
Site Plan Name: C Block No. 3�
Project Name: 902Q gl l t v�o I
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Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: '
INSTALLATION OF MIAMI DADE APPROVED ACCORDION SHUTTERS
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CONSTRUCTION INFORMATION:
Additional work to MGasTank
orme un er t is permit—c ec a appy:
HVAC ❑Gas Piping YJ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
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Cost of Construction:$ COQ 000.0 a Utilities: Sewer Septic I Building Height: 15'
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OWNER/LESSEE: CONTRACTOR:
Name MSf ph (Y\iW i v G Name: SAMULE ZAZA
Address: y04 Company: JUST SHUTTER IT INC
City: I��L State: FL Address: 1029 SW S. MACEDO BV
Zip Code: Fax: City: PORT ST LUCIE I State:FL
Phone No. 17a 00 1 aaLg Zip Code: 34984Fax:
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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: 2.4293
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. ,I
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:' ! _Not Applicable
Name: Name:
Address: Address:
City: State: City: I State:
Zip: Phone: Zip: Phone: I
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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:Iroom 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 with.lender or an attorney before
commencin wok or—recording our Notice of Commencement. i
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Sig ure of Owner/Lessee/Contract as Agent for Owner Si ture of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF C7t. G e- COUNTY OF A ( 'r-A Q.
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The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 6 day of OCA 20 1_l by this__� day of 20 1-7 by
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(Name of person acknowledging) (Name of person acknowledging)
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(Sighature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida
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Personally Known 10 OR Produced Identification Personally Known�OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. I (Seal)
tZOZ! ILO sai�dx3 "�� x StaIf te o1 Florida
v Notary Public
sloyoiN y yswt±d I ` arras
Revised 07/15/2014 My Commission GG 126706
epuol�+o etetg op��d tietoN mor dna I ' Expires 07!2012021
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIONSEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
=INITIALS �
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