HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Budding 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 xxx
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION: 5f
Address: 2,233 by-e P_s=_x - Il
Legal Description: Q60 33 44 -A-1^p_ YTSkY_ lQ, -Ig
Property Tax ID#: 33Sy - 5cn - b0902)- Qm-q Lot No.
Site Plan Name: f'nn \i -T-0,Y\.o% Block No.
Project Name: (Y��`� ]EW
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF (a) MIAMI DADE APPROVED ACCORDION SHUTTERS
CONSTRUCTION INFORMATION: j
ditional work toe nertormed under this permit-check all thatappy:
HVAC 0 Gas Tank Gas Piping ✓ Shutters ❑Wini dows/Doors
Electric 0 Plumbing ❑Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$��, 3,�C7 .00 Utilities:[]Sewer 0 Septic Building Height: 15'
OWNER/LESSEE: CONTRACTOR:
Name t-40 rV _rOl i'\C► Name: SAMULE ZAZA
Address: 9,Qi,Ane Pr� R Company: JUST SHUTTER IT INC
City: PsL State:-f—::'L Address: 1029 SW S. MACEDO BV
Zip Code: ._qCj n Fax: City: PORT ST LUCIE State:FL
Phone No. -1'7 a - 0Dn I - 0141 lal 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: ?4293
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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-SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: :
DESIGNER/ENGINEER: Y Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone: 1 1
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 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,
iaccessory 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 t e first inspection. If you intend obtain financing,consult with lender o'r an attorney before
comme in w or recordingour tice of Commencem
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Sig ture of owndr/Lessee/Cdntracidr as Agent for Owner Aignat5re of Contractor/Lice s olde
STATE OF FLORIDA STATE OF FLORID
COUNTY OF rb I uc-1 .COUNTY OF lusip-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this l� day of U(_+ . 20 Eby this_LJ day of 0 20 17 by
1 � I
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(Name of person acknowledging) (Name of person acknowledging)
(Sigillature of Notary Public-State of Florida) (Sigriature of Notary Public-State of Florida)
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Personally Known_�OR Produced Identification Personally Known �e OR Produced Identification
Type of Identification Produced Type of Identification-Produced
Commission No. ( ZCG_7O'P (Seal) Commission No. �' I � v� (Seal)
4 06&1 Notary Pub 1c ays & o ary u
Revised 07/15/2014 =e ^ Parrish A Nichols Parrish A Nichols
- v My Commission GG 126706 , My Commission GG 128708
�i Expires 0712012021 �ij ' Expires 07/20/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS