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Building Permitt Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building 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: Address: I y l a l • r- Legal Description: t� l 4�V,t� 1 -7 1E? i T C� L Property Tax ID#: 3��0� ' C�1 ( - pn - �c�-q Lot No. 1 5 Site Plan Name: 75_(>V-v Block No. Project Name: '�pV_1 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: INSTALLATION OF ( < < ) FBC-APPROVED ACCORDION SHUTTERS FL#16893 CONSTRUCTION INFORMATION: Additional work to be Pertormed un er this permit-c ec a �appy:�HVAC Gas Tank Gas Piping � ters Q Windows/Doors Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction: $ 5 0 5V G� Utilities:nSewer 0Septic Building Height: 15' OWNER/LESSEE: CONTRACTOR: Name C - o` Name: SAMULE ZAZA Address: 41 Lil Company: JUST SHUTTER IT INC C- City: y�_ State: F�— Address: 1029 SW S. MACEDO BV Zip Code:� Tv(o Fax: City: PORT ST LUCIE State: FL Phone No. -7-1 O 1 - `t 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 the first inspection. If you intend to obtain financing, consult th lender or an attorney before commenci work orrecordtnxyour Notice of Comm enc ent. 17 IL J� -zr( ffie s Signat a of Owner/Less a/Contractor as gent for O ature of Contractor/License Holder ATE OF FLORIDA `` 1 _ \ STATE OF FLORIDA p COUNTY OF t . l�. UA ► -, _ _ COUNTY OF ,�. Liu The for cling instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 _ y this lr— day of 20 by SC 2P'Z� — CLA_t1_ (Name of person acknowledging) (Name of person acknowledging) (Sign re of Notary Public-State of Florida) (Signature of otary Public-State of Florida) Personally Known��OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification roduced Commission No. I��U Ce (Seal) �16b (Seal) o lip state ct Florida P`� Ne, ^;� b - ,►RY Poi Notary Public State ct Florida ' r mmissionCC125r i� Ny NAY Commis on GG 12670fi Revised 07/15/2014 `' _xo ras G7!20/202i �'f oo- Expires 07/20/2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Property Card Page 1 of 1 Michelle Franklin, CFA--Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address:10129 Wild Quail DR Parcel ID:3322-621-0024-000-9 Sec/Town/Range:22/36S/39E Account#: 153147 Map ID:33/22N Use Type:0100 Zoning:PUD Jurisdiction:Saint Lucie County Ownership - John W Vaughan Nancy W Vaughan + 10129 Wild Quail DR Port St Lucie,FL 34986 Legal Description POD 6 PUD I AT THE RESERVE WILLOW PINES WEST AT PGA VILLAGE(PB 42-33)LOT 15(OR 3832-22) Current Values Just/Market Value: Assessed Value: Exemptions: Taxable Value: Total Areas Taxes for this parcel: SLC Tax Collector's Office© Finished/Under Air(SF): 1,751 Download TRIM for this parcel:Download PDF p Gross Area(SF): 2,345 Land Size(acres): 0.06 Land Size(SF): 2,505 This information is believed to be correct at this time but it is subject to change and is not warranted. ©Copyright 2018 Saint Lucie County Property Appraiser.All rights reserved. http://www.paslc.org/RECa.rd/ 1/15/2018 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 4395181 OR BOOK 4091 PAGE 674 , Recorded 01/29/2018 08 : 36 : 41 AM i I i E NOTICE OF COMMENCEMENT Pefmtt No. Tax Folio No. (na I .Qc� State of Florida County of St.Lucie The undersigned herebygives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement Leo Description of Property:(and street address if available): b to Dt.LD ( T General description ofirnprovement: INSTALLATION OF HURRICANE SHUTTERS � r Owner ittforrnatlon or lessee Information if the Lessee contracted fpr the Improvement: w Name n)n f� Address �_O L SL<4 Lo it GL r °o Interest in property: OWNER fro Name and address of fee simple titleholder(if different from Owner listed above): Q rn Y rn O Lu CC) Contractors Name: JUST SHUTTER IT INC. >- U J Contractor Address: t 029 SW.S.WCEDO BV PORT ST LUCIE FL 34984 Phone Number: 772-201491 A r—G =U �_ CD Surety(If applicable,a copy of the payment bond is attached):Amount of bond:$ WA '—U m Name and address: ?*APhone number: N/A p Z w - rx Lender Name: Phone Number: ?z' Z C)`3 CdxrQ O O U UO• W D Lender's address:_� �l Ste/ 1P T C��f n S I. 1`t r'( t _w 0 0 p Persons within the Stage at Florida des4rtated by Owner upon whorn notices or other documents 0 U"' 713.13(1)(a)7.,Florida Statutes: may be served as provided bnj Ur � 0 Name: WA Phone Number: WA rn (4 C m Address: WA In addition to himself or herself,Owner designates wA of WA to receive a co py of the Lienors Notice as provided In Section 713.13(1)(b),Florida Statutes, Phone number of person or entity designated by owner. WA Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the contractor,but will be 1 year from the date of recording unless a different date is specified) ,Wo'i'Ch 301 7 a.416 WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO09TAJN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR CE OF COMMEN ENT. Under W4 rjury,I cla t I the foregoing no of commencement and that the facts stated therein are true to the best of my k wl d bell 0 w Notary Public State cf Flonda -t F,rcish A Nichols 0 ER(S) : . P V.y Commission GG,26706 a nd� 4.res 07120/2021 (Signatory's Title/Office) The foregoing instrument was acknowledged before me this l 56 day of J4 20_L? By Gilt as OWNER(s) for JUST SHUTTER IT INC. 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