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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCENTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Fierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx PERMIT APPLICATION FOR: Shutter PROPOSED IMPROVEMENT LOCATION: Address: C_kc - Legal Description: CMLCjS4-n C1 -Q. '« Property Tax ID #: a`SL'�Q — 5Q_ _ 0(C `85- c_)()0 � `1 Lot No. Site Plan Name: (A, kki a_rr-\ I o 0 d CC -)G Block No. Project Name: (K) M l C�,Cy'\ l }.3C) C` A co c Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: INSTALLATION OF FBC-APPROVED ACCORDION SHUTTERS CONSTRUCTION INFORMATION: Additional work to be nprtormed under this permit —check all that appy: OHVAC Gas Tank 0Gas Piping WShutters O Windows/Doors 13 Electric Plumbing OSprinklers 1:1 Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ G ,, L � . ° Q Utilities:11 Sewer O Septic Building Height: 15' OWNER/LESSEE: CONTRACTOR: Name W Lf� \o_r-i r i l,AOQ(iC'_Cy t. Name: SAMULE ZAZA Address: �a 1 (0 Company: JUST SHUTTER IT INC City: ` 1� \ L_ _ State: PL Address: 1029 SW S. MACEDO BV Zip Code: 3'JO(2 to Fax: City: PORT ST LUCIE State: FL Phone No. "]tea- Q01- g10l1 01 Zip Code: 34984 Fax: E -Mail: Phone No. 772-201-9919 Fill in fee simple Title Holder on next page i if different E -Mail: JUSTSHUTTERIT a@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 CONSTRUCT Ohl LIEN LAW INFORMATION: DESIGNER/ENGINEER. kot 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: ° ,�lot 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 wili, 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, consul with lender or an attorney before cornmencjng work or recording your Notice of Commencement. as Ageriirfor Owner STATE OF FLORIDA ^— STATE OF FLORIDA COUNTYCIF ck-e F Lo-�COUNTYOF I The forgoing instrument was acknowledged before me this V-5 day of ah , 20 Eby (Name of person acknowledging) (Signature of otary Public- State of Florida ) Personally Known )Q� OR Produced Identification Type of Identification Produced Commission No. GG t86,7 6 6. (Seal) Revised 07/15/2014 The forgoing instrument was acknowledged before me this J'5 day of 20 k� by (Name of person acknowledging) (Signature ofN ary Public- State of Florida ) Personally Known X OR Produced Identification Type of Identification Produced Commission No. 1' GI I"u -z () .`y: Parrish A Nichols V a My Commission GG 126706 I¢e Expires 07120/2()21 (Seal) Notary Public State of Flonda Parrish A Nichols A` My Commission GG 126706 - -X `f v GxPlra5 U114VIZU21 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER' REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS co N©11 UOIld 3NV3RlS()H uioa{�a4}n4s�sn9rnnnn� � l lSd 0 6166'LOZ'ZZL'4d JCJ OUOISp!eVq 9�ZL �1F86tr£ ki a:ani 45 4�d o fl1 .. �ry.1r ng ope'aVV 'S MS 6ZOI 31000poom INS c ul _ LL a a I- ao m y m rn �n L cn N m LLI 3 [I7 t�I3 VS rn C0 y W CU) U) C = 0 a 0 0 0 0 0 0 0 4) ci c� c9i tl o d Q m w m m1v} 1:11 ca:M.to} m? ca7 ns o b } oao O G } > R w o s -� a� o� o� Q,z �'�i EO EO E.� EQ EU EO i4 4 EO Y of M 4 6 {O R EC9 Hl O r r r JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4405511 OR BOOK 4099 PAGE 2112, Recorded 02/21/2018 08:19:25 AM Permit No, NOTICE OF COMMENCEMENT Tax Folio No. --_505-N25 - 600-i State of Florida County of St. Lucie The undersigned hereby gives 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. Legal Despiption of Property: (and street address if available): Coll �. `Z tp Generaidescriptlon of knprowement: INSTALLATION OF HURRICANE SHUTTERS Owner information or Lessee informati n if the Lessee contracted for the improvement: Name Wl.ftjaryll t-C'C�c J_ Address —7&;t6 f V-lVL AQ, Interest in property: Name and address of fee simple titleholder (if different from Owner listed above): Contractor's Name: JUST SHUTTER IT INC. Contractor Address: 1029 SW" S. MAG£DO 8V PORT ST LUCIE FL 34994 Phone Number: 772-201-9919 Surety j'sf applicable, a copy of the payment bond Is attached); Amount of bond: $ iVA Name and address: WA Phone number: Lender Name: U ( Phone Number: Lender's address: Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by 713.13(11 (a17., Florida Statutes: Name; WA Phone Number; NrA Address: NIA In addition to himself or herself, Owner designates WA Lianues Notice as provided In Section 713.13(j) (b), Florida Statutes. Phone number of person or entity designated by owner n+A Expiration date of notice of commencement: (the expiration date may not be before the completion of contractor, but will be 1 year from the date of recording unless a different date is specified) 4-,g WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSPOERFD IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR I MPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowigdge nd_ belief. {Signature of Ownr or Lessee, or Owner's or Lessee's Authorized Office r/Directcr/ Partner,/manage- OWNER(s) {Signatory's Title/Office} * ► Notary Putft State of Ftarida �c Parnati A Nichols My Cornrrnlssiun GCs W87pB ar' Expires o7rzontazs The foregoing Instrument was acknowledged before me this day of 201 BY as OWNER($) for JUST SHUTTER IT INC. Na sun Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed Personaiiy known— or produced Identification. (Si tore of Notary Public - State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public) Type of Identification produced