HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ��� _ G-(�
• RECEIVED
Building Permit Application MAR 0 5 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: i�t4q Co.)rnn,-k,s- i-e _PL
Legal Description: +:)00 aOC_ f)T TEE—: (Z�SPry�'C_ �D R LQSSi VIQ C
LO+ C�$
Property Tax ID#: 33a-1 ' ��3- (-)C) - (TUU - Lot No. _
Site Plan Name: n Block No.
Project Name: YY�
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF ( 11 ) FBC-APPROVED ACCORDION SHUTTERS FL#16893 "Tck.%n h,a 1
CONSTRUCTION INFORMATION:
Additional work to be De rmed under this permit-check a appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
11 Electric Plumbing 1-1 USprinklers FI Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 5� ���a Utilities:Sewer FISeptic Building Height: 15'
OWNER/LESSEE: CONTRACTOR:
Name N3 r\CA a t Name: SAMULE ZAZA
Address: �( �aX YIL��� 1� �l Company: JUST SHUTTER IT INC
City: Wil, State: V:7-1� Address: 1029 SW S. MACEDO BV
Zip Code: 3�CIR,lD Fax: City: PORT ST LUCIE State:FL
Phone No. -7_7a-aL. -q of I �f 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: of 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 thv first inspection. If you intend to obtain financing, consult with lender or an attorney before
commerging work o"qcording your Notice of Commencement.
//I Z-1 /L
S
ig tur f Owner/Lessee/Contractor Agent for Owner ig ure of Contractor/License Holder ly
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �. I�CA'� COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 250 day of_ 20 Eby this ':5U day of 20 by
29J� (�O"kj� C`—
(Name of person acknowledging) (Name of person acknowledging)
(Signatur of Notary Public-State of Florida ) (Signat of Notary Public-State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. o,Co -?C-)(o (Seal) C �Fl
o. 7 1 oZ�n`IC)(o Seal)
�fY PL Notary Public tate Y nu. Notary Public State of Florida
Z ,
my Commission GG 126708 < My Comn fission GG 128706
Revised 07/15/2014 off' Expires 07/20/2021 Expires o'12012021
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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