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HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
i
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xxx
PERMIT APPLICATfION FOR: Setter
PROPOSED IMPROVEMENT LOCATION:
Address: M
Legal Description: `b c l
Property Tax ID#: � II• �763 '_l.'°1 Lot No.
Site Plan Name: \ `� � Block No.
Project Name: (�
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF FBC-APPROVED ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:
Additional work to be Pe orme un er this permit—check a that—apply:
EjI�
HVAC Gas Tank 0Gas Piping 10 Shutters Windows/Doors
Electric El Plumbing OSprinklers El Generator Roof Roof pitch
Total Sq.Ft of Construction: 5 . Ft. of First Floor:
Cost of Construction:$ Oa Utilities: Sewer ]Septic Building Height: 16°
OWNER LESSEE: I CONTRACTOR:
Name ti Name: SAMULE,Z.AZ_A
Addres [i Company: JUST SHUTTER IT INC
City: State:_� Address: 1029 SW S. MACEDO BV
Zip Code: Fax: City: PORT ST LUCIE State:FL
Phone No.' M tJ � 1 - Zip Code: 34984 Fax:
E-Mail: Phone No. 772-201-9919
Fill in fee simple Title Nolder on next page(if different E-Mail: JUSTSH UTTER IT@GMAIL_COM
from the Owner fisted above) State or County License: 24293
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL ONSTRUCTI N LIEN LAWINFOR'MATIpN:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: _ - - - --
Address: Address: - --
City: - - State: City: _ _State:
Zip: Phone: Zip: Phone: -
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: of Applicable
Name: Name:
Address: Address:
City: — City:
Zip: Phone: _ Zip: Phone: -
I
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes nolIrepresentation 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 gralpting 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
improvernerAs to your property.A Notice of Commencement must b recorded and posted on the lobsite
before the i t inspection. If you intend to obtain financing, consult ith lender or an attorney before
commenc' wor ecording your Notice of Commencement.
Siigna re of O n r/Lessee/Contractor as Agent f Owner SigrtgWe of ContractarjLicense Hold
TE OF FLORIDA Cr STATE OF FLORIDA
COUNTY OF N-- �' COUNTY OF
The for Ding instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1 day of 20 Eby this day of 20 J_2 by
(Name of person acknowledging) (Name of person acknowledging)
I
(Signature of Nota Public-iState of Florida) (Signature of Notary u ic-State of Florida)
Personally Known� _i)R Produced Identification Personally Known OR Produced Identification
Type of identification Produ ed Type of Identification Produced
Commission No. tG (Seal) C ission No. I af0_1 0b (Seal)
Notary Pubiit State of Flo ida
f Florift
' o fly Commission GG 126706 ' _ Parrish A Nichols
Reprised 07/15/2014 Expires 0712012021 hny Commission GG 126706
—OF " Expires 47/20J2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
I
I
JOSEPH E. SMI H, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 444725 OR BOOK 4145 ' PAGE 699 , Recorded 06/14/2018 11 : 42: 49 AM
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No, �a► C)1 w Wo -
Stete of Florida Cour ty 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.
Le al D stripti in of r pi (and reef ad r av ilIa e):
Generardescriptionofi provement: IPfSTALIATION OF HURRICANE SHUTTERS
Owner Inf rma on or Le see information if t Lessee co�nttracted for the improvement:
Name 1C�Y1'
Address `[Z �
Interest in property:
Name and address of fee simple titleholder(if different from Owner listed above):
i -
Contractor's Name: JUST SHUTTER IT INC.
Contractor Ad dress: 1429,SW.S.MACEDO BV PORTST LUCIE FL 34984 Phone Number: 772-201- 91 g
Surety(if a licabie,a copy of the payment bond is attached):Amount of bond:$ WA
pp
Name and address: "A Phone number; NIA
Lender Name: VV Phone Number:
Lender's address:
Persons within the State If Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes,
Name: WA Phone Numbef: NrA
Address: WA
In addition to himself or herself,Owner designates wA of NA to receive a copy of the
Lienars Notice as proVdej in Section 713,1311)(b),Florida Statutes.
Phone number of person o'r entity designated by owner: WA
Expiration date of notice of commencement: {the expiration date may not be before the mm;jllon of constructs ndfinal P rn�njao tha
contractor,but will he lye rfrom the date of retarding unless a differentdate tie specfied} Q fi(�( `! + C1 8
WARNING TO OWNEK:ANY PAYMENTS MADE BY TH✓=OWNER AFTER THE EXPi RATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORMA STATUTES,AND CAN RESULT 1N YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE 13EFORETHE FiRs7
INSPECTION,iFYOU INTEND To OBTAIN FINANCING,CONSULT WITH YOUR LENDER Oft 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 rmZegr, belief
=t3A,21re of QsVnr a,Ln:'se �� '� o!Lasce.� tl-_. -ed[�t;c� ��:r-�ta�rPa.nerfPJ�ir�agE;. +i riratawy PuWiC Slate or FloridaParrish A Nichols
R(s) ■ My Commission GG12E7g6
(Signatory`s Title/Office) Vj Expres o-rl2M21
Th orego"ng instrument was ftnowledged before me thisn day of., 701�
gy ,KOWNEFt(s) for JUST SHUTTER IT INC.
''Na s,r Type of authority(e-g-officer,trustee) Party on behalf of whom instrument was executed
STATE OF FLORIDA
iffll J na Ily known or producer#Identification.
ST. LUCIE CO
(Signature of Nof ry Public-State of Florida) THI v IS TO C E i I FY AT.
(Print,Type,ors amp Co missioned Name of Notary Public) TRUE AND C C t j� �uCe
ORIGINAL
JOSEPH E. SMITH, CLERK
By:
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