HomeMy WebLinkAboutJSI Permit App (9119 Champions Way)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Devempment Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: LCk
E
Commercial
Property Tax ID #:
I
Site Plan Name: \\\
Project Name: Cgvv
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Residential xxx
INSTALLATION OF T FBC-APPROVED ACCORDION SHUTTERS
Lot No.—
Block No.
CONSTRUCTION INFORMATION:
Ai crt�ona w 11 1 arto e e orme under this permit —check
a appy:
HVAC L] Gas Tank
E]Gas Piping
WShutters Q Windows/Doors
1:1 Electric El Plumbing
Sprinklers
OGenerator 0Roof Root pitch
Total Sq. Ft of Construct.
Sq- Ft. of First Floor:
Cost of Construction: $
I
�fv
Utilities:
Sewer Septic. Building Height: 15
OWNER/LESSEE:
CONTRACTOR:
Name _ �' r� Gt
��1 �i
Name: SAMULEZAZA
Address: L \ \C -
r� �'
Company: JUST SHUTTER IT INC
City - S, ' J^� ^• ;
State:
Address: 1029 SW S. MACEDCO BV
Zip Code:.��,G\;Y(�q. I Fax:
City: 'PORT ST LUCIE State: FL
Phone No.
Zip Code: 34984 Fax:
E -Mail:
Phone No. 772-201-9999
Fill in fee simple Title Holder on next page
( if different
E -Mail: JUSTSHUTTERIT@GMAIL.COM
from the Owner listed ab ve)
State or County License: 24293
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
5UF1'L"tMt:NTALI; NSTRUCTION LIEN,LAIIV:INFORMATI:ON:
NESIeGNER ENGINE R:
of Applicable
MORTGAGE COMPANY:
Not Applicable
PLANS
VEGETATION
Name:
MANGROVE
Address:
Address:
REVIEW
City:
Zip: Pf
State:
City:
State:
one:
Zip. Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Applicable
Name:
Name:
_lFJot
Address:
Address:
City:
City
Zip: P ane•
Zip, Phone:
I certify that no work or nstallation 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 a ny 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 5t. Lucie County Amendments.
The following building pe rmit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swming 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 yoT r property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work ol{ recordin your Notice of Commencement.
STATE OF FLORI A
COUNTY OF S
The forgoing instrument
this l.'!�_ day of AK.
-Ik" �-k -c(— .
(Name of person acknow
(signature of Notary F4ib
Personally Known
Type of Identification Pro
Commission No.
. Revised 07/1512014
eXontractor as Agent for Owner
was acknowledged before me
20 LJL by
L 'O}`
edging) �—
ic- State of Florida )
_OR Produced Identification
fuced
Sear
HELLFREDERICKS
MY COMMISSION f FF 9D5422
g
A -11W0 Soaded Thn 0udgel Notary Servim
STATE OF FLORIDA
COUNTY OF T'X / Lt e —Cf—
The forgoing ipstrument was acknowledged before me
this i 3 day of Ar "�-!) ._. : 20 t Y by
(Name of person acknowledging)
of Notary Public' State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
,• : MICHELL FREDERICKS
a * MY COMMISSION # FF 9059 2
EXPOES: August 2049
"omcp: ~ ®owed Thru ovogal NAry Serve
REVIEWS
FRONT
COUN�ER
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 445327 OR BOOK 4151 PAGE 2234, Recorded 07/02/2018 09:12:14 AM
NOTICE dF COMMENCEMENT
Permit No, Tax Folio No. aMA — 50QC3�C —
State of Florida County of St. Lucie
The undersigned hereby gives notice that Improvement wlll be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following informatio I is provided in this Notice of Commencement.
Legal Description of Property: (and st eet address if available)-,
General description of Nnprovernent_ INSTALLATION OF HURRICANE SHUTTERS
Owner information or M nn N the Len" Contracted for the improvement:
Name
u Rr
Address •s°
o�
Interestin property. a ,
Name and address of feesimple tMehalder (rf different fro Owner listed above):
Contractor's Name:
Contractor Address
SHUTTER IT INC.
3498+1 Phone Number:
Surety {If applicable, a mP[Y of the payment bond is attached): Amount of bond: $ wA
Name and address: w4 I Phone number: WA
Lender Name: ` Phare Number:
,
Lender's address:
Persons within the State of Rorlda designated by Owner upon whom notices or other documents may be served as
713.!3(3) (:)7." Ftorid Statutes:
Name, WA Phone Number:
Address:. WA
LU
e - 1--i
in addition to himseff or herself, Owner designates _ WA WA " -
1 mors Notate as provided in Section 71 1 h , Florida Statutes. to receive
3.13( 1()
Phone number Of person of entity designated by owner. °"'A
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and frnal payment to the
Contractor, but will be 1 yer from the date of record ft unless a different datE is specified) _ C-0
WARNING TO OWNER: ANY PAYMENTS MADE 8Y THE OVeWER AFTER THE EXP1RA710N OF THE AIOTI(X OF COMMENCEMENT ARE CONSli7ERED
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 POSTEo aN THE loB SrIE BEFORE TME FIRST
INSI''ECrION, IFYOU fNTENDTO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A77ORHEy BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE 6F COMMENCEMENT.
Under penalty of perjury, I declare that t have read the foregoing notice of commencement and that the facts stated therein
my know1o4ge and belief. � I .t are trueto the best of
(Signmtorys Title/Office)
F��V_F
No18ry Punlic State of Florida
Parrish A Nichols
yjMY COMMission GO 126705
Expires @7f2 o2t
'he
-foregoing 'rnstrument was acknowledged before me this dayvf� zp
BYs„L1117 as OWNER(a) for JUST SHUTTER IT INC.
Type of authority {e.g. officer, trustee) Party nn behalf of whom instrument was exeeuted
Personally known or produced identifiraltion r
{Signature of N ary Public l State of Florida) �y
{Print, Type. of amp Commissioned Nana of Notary Public! Type of Identification produced t—
17
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