HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 O`�1 \1 Permit Number:KAWL
•019 - . . . RECEI!ED
Building Permit Applicati n
Planning and Development services O C T 31 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial � M.13�xePartment
'
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROV'E'MENT LOCATION:
Address: -114 a kAauu r_-C1__, V k J-w r•
Legal Description: V-10.W K-S V 1-f-W 0..-Ir
Property Tax ID#: 'te a (IGJ- c(bl _ C)00- 3 Lot No.
Site Plan Name:4d&p.� ea) Block No.
Project Name: LLA &b.—
Setbacks
b.Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF l 25) MIAMI DADE APPROVED ACCORDION SHUTTERS
NC(C )oCV,�k-ck-2 4
CONSTRUCTION INFORMATION:
itiona wor to e e rmed under this permit-c ec anapply:
HVAC Gas Tank E]GasPiping _Shutters a Windows/Doors
13 Electric 0 Plumbing []Sprinklers �Generator � Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ Q 1 9c 00 - C 0 Utilities: Sewer E]Septic Building Height: 15'
OWNERAESSEE:n CONTRACTOR:
Name (_iAc(avL__ l �,D S 0� ' Name: SAMULEZAZA
Address: (}o_,,,u� \XL>,J Company: JUST SHUTTER IT INC
city: 9�)L State: Pk. Address: 1029 SW S. MACEDO BV
Zip Code: � Fax: City: PORT ST LUCIE State:FL
Phone No._77a )01 aQ(4 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 theiirst inspecVon. If you intend to obtain financing,consult ith I der or an attorney before
comme i work or ec our Notice ommencement.
s
13:911ture o ner/Lessee/Contractor as Age or Owner Sig ure of Contractor/License Holder
STATE OF FL
COUNTY OF
COUNTY OFORIDA� �_lJ�OaQ. FLORIDA 94 U- C Q_
The forgoing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 117 by this QLday of O d_. ,20 1-7 by
Cam 2_0��
(Name of person acknowledging) (Name of person acknowledging)
(Vg-nature of Notary Pub' ate of Florida) ( ignature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known )0 OR Produced Identification
Type of Identification Produced Type of Identificationsn Produced
Commission No. C,(2, I 2-(t-No (Seal) Commission No. to (Seal)
'011°L Nota i v,Publiii State of Florida ` r• .k
^ Parrish A Nichols ' ^ Parrish A Nichols
Revised 07/15/2014 nd' Expires 07 20@02ommission G 126706 o-A� My Commission GG 12670 oor M10 Expires 07/20/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS