HomeMy WebLinkAbout New Permit App ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
0
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:
Legal Description: 4 flT 7P_ _ — l l�o�_M
11
Property Tax ID#: Lot No. _
Site Plan Name: ��f��tCp,l��T Block No.
Project Name: t nc fl(\
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF (-:L) FBC-APPROVED ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:
na wor to orme un er this permit—check a app y:
13HVAC f]Gas Tank ❑Gas Piping V/ Shutters Windows/Doors
LJ Electric El Plumbing Sprinklers Generator O Roof Roof pitch
Total Sq. Ft of Construction: 5 . Ft. of First Floor:
Cost of Construction:$ p Utilities:[]Sewer OSeptic Building Height: 15`
OWNER/LESSEE: CONTRACTOR:
NameuC� P� � Name: SAMULE ZAZA
Address: w t l 4 Y Company: JUST SHUTTER IT INC
City: �i State: 4E:j._, Address: 1029 SW S. MACEDCt BV
Zip Code:— �4 (Q Fax: City: PORT ST LUCIE State:FL
Phone No. "I.-"I a 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 CONSTRU ION 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; WNot 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 a first inspection. If you intend to obtain financing, consult th lender or an attorney before
commencing workjor reGerdiVg your Notice of Commencement.
s
S` na#ure of Owner/Lessee/Contracto s Agent for O er Signatu of Contra or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF 3L. Lu, �_
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this�day of 20by this��day of 20 1 7 by
(Name of person acknowle ging) (Name of person acknowledging)
(Signature Notary Public-State of Florida (Signatu t
of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known _)-6= OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. o.fr 76 (Seat) Commission No. C—r.=1GL (seal)
. ^s�
ot�Rr'°k. Notary Public State of Florida
t° Parrish A Nichols
My Commission GG 126706
Revised 07/15/2014 „ My Commission GG 125706 ��a n.1� Expires 0712012021
- i Expires 07/20/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4406724 OR BOOK 4102 PAGE 2857, Recorded 03/01/2018 11 :13:16 AM
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No,Tsa-a (Dal dO l) o 0Q (P
State of Florida County of St.Lucie
The undersigned hereby gives neice 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 Description of Property:(and street address If avallable):
:�bD Cg t�Vl i Cl� 4 ttillf(f]L1�1 47�F14_ 3a. 2 TGI:k \411 OT
General desuiption of improvement: INSTALLATION OF HURRICANE SHUTTERS � o,
i
Owner Information or Lessee informs lon if the Lessee contracted for the improvement:
Name t
Address I xM l Qu�-K-Q�0 b f'.
Interest in property:
Name and address of fee simple titleholder(If different from Owner listed above):
Contractor's Name: JUST SHUTTER IT INC. U
Contractor Address: 1t728 SW.S-MAC!=D4 UV PORT ST LUCIE Fl-349M - Phone Number: 772_-?f]i-9N19 �pWA
Surety(if applicable,a copy of the payment bond is attached).Amount rrf bond:$ �V
Name and address: WA Phone number: WA W
Lu
♦ Zia
Lender Name: Phone Number: der p O
Lender's address:
Z
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided 6y 1"w 4)
713.1 (1)(a)7.,Honda Statutes: WA N ac
Name: WA Phone Number: Ln N ram- O
Address: WA
In addition to himself or herself,Owner designates VA of WA to receive a copy of the
Llenor's 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 paymen$ o the
contractor,but will be 1 year from the date of rpmr-ding unless a different date is specified) ,Q�,__ 5 L f �'r 0
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 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 ge and belief, f) „
Si ure of 0%wu or Lessee,or Owner's or Lessee`s Au hDrized C't cei'�'Director;Partner/Manager 34 Out Notary pubho state e{Flaraen
+Q Parrish A Nichols
OWNER(s) :_ my Cv mission GG M706
(Signatory's TitlefOffice) a R Exwras O7f2a2Q2i
The foregoing instrument was acknowledged before me this DLL day of—ML, 20_t?
BYEf'U.C2 m4c-ca as OVdNER(s) for JUST SHUTTER IT INC.
TV a son Type of authority(e.g.officer,trustee) Party an behalf of whom instrument was executed
- Personally known_or produced Identification.
;5ignatu f Notary Public-State of Florida)
(Print,T ,or$tamp Commissioned Name of Notary Public) Type of Identification produced ]
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