HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUS?BE COMPLETED PDR APPLICATION TO BE ACCEPTED
Date: Permit Number:
n
s
Building Permit Application
Planning and Developmejnt Services
Building and Code Regulation Division
2300 Virginia Avenue,FOt Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address
Legal Description: PLO D 0-1 r-A�'T�10 t6-` -3b
Property Tax ID#: Lot No. 30
Site Plan Name: (� Block No.
Project Name: f Cc p�A {`FZ C fCl/f✓L.�
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF Qk FBC-APPROVED ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC 11 Gas Tank F]Gas Piping I V/I Shutters a Windows/Doors
aElectric ❑Plumbing IlSprinklers F Generator Roof Root pitch
i
Total Sq. Ft of Constructi n: S . Ft.of First Floor:
Cost of Construction: Utilities:Sewer Septic Building Height: 15'
OWNERAESSEE: CONTRACTOR:
Name Name: SAMULE ZAZA
Address: �-7 �j r Company: JUST SHUTTER IT INC
City: L State: f%C_ Address: 1029 SW S. MACEDO BV
Zip Code: O Fax: City: PORT ST LUCIE State:FL l
Phone No. Zip Code: 34984 Fax: f
E-Mail: Phone No. 772-201-9919
Fill in fee simple Title Halder on next page(if different E-Mail: JUSTSHUTTER IT@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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: 7A
Not Applicable MORTGAGE COMPANY: t Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Ph e: Zip: Phone:
FEE SIMPLE TITLE HO ER: Not Applicable BONDING COMPANY: of Applicable
Name: Name: —)eel
Address: Address:
City: City:
Zip: Phone: I Zip: Phone:
I certify that no work or initallation 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our.Noti of Commencement. _
s
Signa re of Owner/Lessee/Cont ctor as Agent for Owner Si re of Contractor/License Holder
TE OF FLORIDA STATE OF FLORIDA
COUNTY OF S?J� �
COUNTY 1 AAfA-Q--
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-c3day of V\\4 20 L4�by this:3day of 20 �-;? by
(Name of person acknowledging) (Name of person acknowledging)
\_/O� - --I
(Signature of N fary Public;State of Florida) (Signature of Notary u lic State of Florida}
Personally Known� �R Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ftsion No.�i a� ZU (Seal
Notary Public State of Fr
o.►�` A NfCt1015 +►Pr Notary Public State of Florida
ssion126708
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTE REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS �