HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: Permit Number:
•
Building Permit Application
Planning and Development Services JAN 1 2018
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: `I I U YY\wkd Vr(S L 7)t-
.
Legal Description: 0AaAL s -oy\ __ Qgmo L t -7 LL
Property Tax ID#: - - 0025 - 0 UO O Lot No.'_
Site Plan Name: i Block No.
Project Name: l
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF (J 5) MIAMI DADE APPROVED ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all apply:
HVAC Gas Tank OGas Piping �_Shutters O Windows/Doors
11ElectricOPlumbing OSprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: S . Ft.of First Floor:
Utilities: l0 Sewer O Septic Building Height:
Cost of Construction:$ g a �rJ 15
OWNER/LESSEE: CONTRACTOR:
Name N0WLQ. Name: SAMULE ZAZA
Address: ::Onto (Yowl,& 'hwt9- Mr. Company: JUST SHUTTER IT INC
City: 1 br-t-(4. State:fL. Address: 1029 SW S.MACEDO BV
Zip Code:3�Q2(.o Fax: City: PORT ST LUCIE State:FL
Phone No. (Q?A- _1s(_0- &&un 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. _J1
SUPPLEMENTAL CONSTRUCTf N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: of 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:
1 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 the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencirIg work or recording our Notice of Commencement.
s
Signat a of O ner/Lessee/Contractor as Ag t for Owner Sign ure ontractor/License Holder
ST TE OF FLORIDASTATE OF FLORIDA
UNTY OF a . L1 SQL Q- COUNTY OF 5�. l LxQ.A_4Q-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 61 day of Q_• , 20 Zby this a1 day of 20 L-1 by
(Name of person acknowledging) (Name of person acknowledging)
yr")
(Sig ature of Notary Public-State of Florida) ( ' a of Not -State of Fl-or )
Personally Known )2 OR Produced Identification Personally Known '10 OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.ls6 I aL7 OfP (Seal) Commission No. (—l1 0A(0. O� (Seal)
�Y ov Notary Public tate of Florida r Pug- Notary Public State of Florida
< My Commission GG 126706 v My Commission GG 126706
Revised 07/15/2014 I*OF Expires 07/20/2021 Expires 0712012021
a�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
OFFICE USE ONLY:
DATE FILED: 3)5 1 O PERMIT# / ►
REVISION FEE: RECEIPT#
PLANNING&DEVELOPMENT SERVICES RECEIVED
BUILDING&CODE REGULATION DIVISION
2300 VIRGINIA AVENUE PEAR 0 51018
FORT PIERCE,FL 34982-5652
(772)462-1553 FAX(772)462-1578 permitting Department
St, Lucie Count•
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
1. LOCATION/SITE r
ADDRESS: /���(,I�S��I✓G% orZ
'qC9
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS: pI /
.40
3. CONTRACTOR INFORMATION:
S%�" STATE of FL REG./CERT.#:. / 3 ST.LUCIE COUNTY CERT.#: Gl fT
Q !° 40 BUSINESS NAME: +-k-'c V* • ) W e
t Z��ll� QUALIFIERS NAME: 4, �, rw. tin �,t.._
11 S ADDRESS: u Z S*•--� �,n C of v K�V
CITY: Z.,._ STATE: t-- ZIP: ry¢
PHONE(DAYTIME): -72 Z— FAX:
4. OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX;
5. ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME): FAX;
Revised 07/22/2014