HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0 4q
Date: a' ��• 7. Permit Number: I a '
sREG kEME
Building Permit Application
Planning and Development Services DEC 19 2017
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:
Address: �2Q5 V\f�
Legal Description: 4��D -33 441- -}1� rQSU V Q.. DYa_V , I K-\w0s -n t l I Lo f- 1-4 1
Property Tax ID#:��3 - t60- cbSaa - COO-9 Lot No. 4
Site Plan Name: To-tA -ay-o-, Block No.
Project Name: Togo c,rc._,
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF C& MIAMI DADE APPROVED ACCORDION SHUTTERS
CONSTRUCTION INFORMATION: .
Additional work to e e orme under this permit-check a appy:
HVAC n Gas Tank ❑Gas Piping Shutters Q Windows/Doors
11 Electric 0 Plumbing FISprinklers �Generator �Roof Roof pitch
Total Sq.Ft of Construction: / S .Ft.of First Floor:
a
Cost of Construction:$_ S^Uy �` Utilities: Sewer FISeptic Building Height: 15'
OWNERAESSEE: CONTRACTOR:
Name Name: SAMULE ZAZA
Address: Company: JUST SHUTTER IT INC
City: i�S�- State: i:--(- Address: 1029 SW S. MACEDO BV
Zip Code: 35q°L9(e Fax: City: PORT ST LUCIE State:FL
Phone No. -l-1 a ao 1 00-1 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: 7kNot 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 Countymakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conict 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 with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signatu o r/Le see/Contracto s Agent for ner Signa re of Co ractor/License Holder
E OF FLORIDA STATE OF FLORIDA
COUNTY OFZL . [-,k kD),k, COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this l( day of 20 Eby this l I day of b & . .20 1"1 by
Ste- .l ZaLol nom,
(Name of person acknowledging) (Name of person acknowledging)
4U42t5>� - *2cxl�
(Sig ature of Notary Public-State of Florida) (SiggaW of NotaryPublic-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of ldentificatio Produced Type of Identification Produced
Commission No. GG i a -?o (Seal) Commission No. WX(aG?O G (Seal)
jt7 Pp Notary public State of Florida
° Parrish A Nicls anis
ho
Revised 07/15/2014 My Commission GG 126706 C
s My ommission GG 126706
'�f e�F°� Expires 0712012021 ?er�o� Expires 07120/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
=INITIALS