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HomeMy WebLinkAboutBuilding Permit Application r � / ALLAPPLIC BLE INFO'MUSTT BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 0 Permit Number: 11 Cr� ISM R CEIV16 BuildingPermit Application Planning'and:DevelapmentServices { MAY 1 Q 2�� Building;and Code Regulation Division i' 2300VIrgiriia,Avenue,Fort Pierce FL 34982 Phone:(772)462-1553_ Fax:{772)_46$4578 Commercial Reside&Wnr4ttinq Depart Bnt r L , PERMIT APPLICATION:FOR:' Shutter PROPOSED I PRO1/EMENT-LOCATIpN Address: 1140 Legal Description:_ ID e A PropertyTaxdD4: 355 1©Q) qp1 -16C)Q -'i Lot No. Site Plan Name: +' Y)wl- Block No. Project Name: Q-6'° `211"117 {l ii Setbacks Front Back: Right Side: Left Side: 4 r DETAIL=Ea DESCRIPTION QF�WORK "} � ` � ��` y� , � i INSTALLATION OF( -1 ).FBC-APPROVED ACCORDION SHUTTERS i l i COISTRUCTlON INFORMATION Additiona .wor ;to. a -e orme under t is permit-c ec a appy: HVAC flGas.Tank FlGasPiping %Shutters aVJin ows/Doors Electric 0 Plumbing �Sprin lers Generator �:Ro Roof pitch I Total Sq.Ft of Construction: S .Ft.of First Floor: c,v Cost of Construction:$ la, 500 , Utilities;0Sewer Septic Building Height: 15 �OWNER�LESSEE j 1 r CONTRACTOR . Name: '11'f"`r Name SAMULE 2AZA E Address: i-k -a e111'1 ..K Company: JUST SHUTTER IT IN. j `City: ` 1-. State: 'C-u Address:. 1029 SW S.MACEDO Zip Code J' 3 Fax: City: PORT ST LUCIE State:FL Phone No. '1 l - 9 19 I Zip Cade: 34984. Fa E-MailPhone No. 772-201-9919 Fill In fee simple Title Holder on next page(if different E-Mail;JUST3HU7 TERIT a�GMA L COM i from the Owner listed above)_ State or County license: 24293 If value.of construction is$2500 or more,a RECORDED IN ce.of Commencement is required. i i i .�'.�.'�af.�- >i.�J�.,.t°Y+.:�,,._..,...-�...�^t`"` `Sc ' tr.'. ,......t`"�4"T;'4.,,,r«v.x r..<.•�. .„."r°... ro ' � �F�. �} *k,. ..:�-,.-� Y _ -'F � r � DESLGNER/ENGINEERi Not Applicab#e MORTGAGE COMPANY: Not Applicable � :Name: Name• .Address: Address: City: State: City: State: Zip: Phone: Zip: I Phone: i FEESIMPLE TITLE HOLDER: XNot Applicable BONDINGCOMPANY: Not Appiicabie Name: ;I Name: Address: Address: City: City: ! Zip: Phone: Zip: I Phone: I 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 buil the subject structure which;is-in conflict with any applicable,Home:Owners,Msociation rules,bylaws or and covenants that may estrict or prohibit such structure.Please-consult wltliyour Home Owners Association and review your deed for any restrictions w ich may apply. Inconsideration of the granting of this requested permit,Ido hereby-agree that will,,!hall.respects,perfo the work i in accordance with the approved plans;the Floeida'Building'CWes and St.Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review:room a ditions, accessory structures,swirriining:poois,fences,walls,,signs,screen rooms-an d accessory uses to-another n n-residential use WARNING TO OWNER:Your failure to.Record.a Notice of'Commencer;ent may resultinyou paying twice for improvements to your property.A Notice of Commencement must'be recorded and po ed on the jobsite before the, irst inspection.If you intend to obtain financing, consul with I er or an a arney before commenc' work-orTUMrdlng vour Notice of Commencement. i s Sign re o Qwner/Lessee/Contractor as Ag .t for Owner Sign of lontractor/License Holder ATE OF FLORIDA STATE OF FLORIDA , COUNTY OF_ C,�. 1 C�,t COUNTY Of Luh The forgoing instrumentwas acknowledged before me The forgoing•instrument was acknowle ged before me this LF day of } Y t 1 20 1 by this L4 day in .i�n I by i (Name of persomacknowledging} (Name of per on acknowledging) (Signature of N ry=Pleb ic-State'of`Fiorida) (Signature j' otary Public-State of FI rida) Personally Knoinln OR Produced identification Personally��own �OR Produced identification Type of"Identification Produced Type of Identification Produced Commission No. L e 7.0 (c, (Seal) o on �Z. IQ(6­x (Lj (Seal) to public State f Florida r u Notary Public State of Florida Parris : ar i _ My Commission GG 126706 i My Commission GG 128708 Revised 07/15/2014 3.rd Expires 0712012021 i n Expires 0712012021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA URTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW RE IEW REVIEW DATE i COMPLETE I INITIALS i