HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE FO MUST BE.COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date � T' � �� �ft � ,4� a Min
A i
Permit Nu bg>; l
4 2018
Building Permit Applilptio S P
Planning ond<Deveiopment Services pe rim ittl g Department
Building and Codeliegulation Division
23W Virginia Avenue,-Fort Pierce FL 34982
St. LSI ie �t�unty, FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercialesi ential xxx
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PERMIT APPLICATION FOR: Shutter
i
Address: �1' w (JID, I
Legal Description: "CCS C1 ;'CS r1CA, e tt O FP,, �3
PropertyTax ID#: �� 6�` ��('�1 C-A 2)0 O ( Lot No.
Site Plan Name:IA-2d0, SA-P-e �t Block No.
Project Name:__-t LYW
c c
Setbacks Front. Back: Right Side: L ift:Side:
DETAILED DESCRIPTION OF WORK
INSTALLATION OF (A FBC-APPROVED'ACCORDION SHUTTERS
9.
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CONTRUCTLON IN;FORMATI4N }
Aciclitionalworto' e- a orme under tispermit'—check a appy.
OHVAC E3 Gas Tank ❑Gas Piping MGene
Shutters Q Wind ws/ Doors
Electric E PlumbingSprinklers frator Roof Roof pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ �d . G10 Utilities:0 Sewer Septic Buildin Height: 15'
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OWNER/LFSSE� ;a:' CONTRAR
Name ���1C1 l^ i Name:SAMIILEZAZA
Address:_ 101(0 X \ CO Le Company: JOST SHUTTER'IT INC
City: sa, State:_Efr Address: 10.29 5W S_MACEDO BV
Zip Code: Fax: City: PORT ST LUCIE I State:FL
Phone No.] �� obi l9 (ci Zip Code: 34984 Fax:
E-Mail: Phone No. 7172 201-9919
Fill in fee:simple Title Holder on next page(if different E-Mail: JUSTSHUTTERIT@GMAIL.�OM
from the Owner listed above) State or County License: 24293
If value of construction is$2500 or more,a RECORDED Notice of Commencemelt is required.
.w r� r- u,-.� 3-.., .'S"hv v xr u� "y .'yam F � •} c �r "�`L .y.y - � , 3 a a r.F '.
=' Up kEM "NI4 L�ON�TRUCT N'�IEN'LAW`!N'F40RMATlp�l~ � ; 5 � � � A
DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY: &Acct Applicable
Name: Name:
Address: Address: !
City: State:; City: I State:
Zip: Phone: Zip: I Phone:
a
.FEE SIMPLE TITLE HOLDER: Not Applicable BONDING!COMPANY: Not Applicable
Name Name:
Address: Address: i
:city: City: I
Zip: Phone: Zip: I Phone: I
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I certifVthat no:workkor installation has commenced prior to the issuance of a p Srmit.
St.Lucie County makes no representation that is granting a permit will authorizethe.permit holder to buil the subject structure
which is in conflict-'With-any applicable Home.Owners Association rules,bylaws or an covenants that may Irestrict.or prohibit such
structure.Please.consult with°your Home Owners Association and'review your deed'for any restrictions wipich may apply.
In consideration of:the granting of-this requested permit,I do hereby agree that 1 will,in all respects,perfa m 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 colcurrency review:room a ditions,
accessory structures;swimming pools,'€ences,walls,sighs,screen rooms and accessory uses to another no residential use
WARNIN TQOWNER:Your failure to Record a Notrce.of Commence nt may result in you paying twice for
improve" nts to your'praperty.A Notice of Commencement must i e recorded and poied on the jabsite
before t � first inspection. If you intend to obtain financing,cons with lender or an attorney before
for me in work or recording our Notice of Commencement.
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'Sign ure a wner/Lessee/Contractor s Agent for Owner Sign ure of C ntractorJLicense Ider
ATE:OF FLORIDAl� ATE OF FLORIDA
COUNTY OF COUNTY OF ' .
The forgoing instrument was acknowledged before me The forgoing instrument was acknowled ed before me
this, day of 20 Eby this day of ,ISL 2a by
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(Name of person,acknowledging) (Name of perso knowledging)
(Signature Ny P blio-State of'Flarida) (Sig
ofotar
nature of Notary Pul'ic-State of Fleda)
Personally Known _OR Produced identification Personally Known ZI OR Produce Identification
-
Type of identification.Produced Type of identification Produced f
Camrriission No. , -( ion No:, 7 (p (Seal)
Heo Notary Public!tete of lotide St-le of ride
Mile
My Commission GG 126706 Parrish A Nichols
Revised 07/15/2014 �,w Expires o7r2azo21 MY Commission GG 1265706
Expires 0712=021
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