HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: toil fi I,' 1 Permit Number: /R10- 0001 I
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intalliMEINIMMIUMNIIIMEr Building Permit Application
Planning and Development Services \
Building and Code Regulati n Division
2300 Virginia Avenue,FortF ierce FL 34982
Phone:(772)462-1553 ax:(772)462-1578
Commercial
Residential )00(
PERMIT APPLICATIQII FOR: Shutter 1
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Address: gq I ?., Cinarilpi ors ItNiac‘( i
Legal Description: /1;1 I"S (at P
iGfi VII I ae. (I° L43 -3d) 6LK
Property Tax ID It: 33 r L[.- roc/ - 3-4C12 .7 -POO • (5 Lot No.
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Site Plan Name:. 0/ i 0---h mole LAw1 Block No. 1
Project Name: E 1 1 zel bei-ki met r mac/
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Setbacks Front I Back: Right Side: Left Side:
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00:41 LE tl.If•Ij.E$0111311 4:10.P.M.0,1:k17:IdCIgf:,.:- .--,.:?, ;::':'-If---'=:-..=i-r''-7.::;:f.', '::-.':-",i.: 4 .: --::-Y.-,-:',---'- :
INSTALLATION OF (3 ) FBC-APPROVED ACCORDION SHUTTERS
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Additional work to be ormeci under this permit-check all Iha;apply:
• DHVAC U___ as Tank Dal Piping Ail Shutters El Windows/Doors
ElElectric 0 lumbing OSpnnklers F_1 Generator D Roof Roof pitch
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Total Sq..Ft of Construction: . SIJI.:of First Floor:
Cost of Construction:$ i j 0 9S- . Utilities:
- I I Sewer 0 Septic
c.)c
I Building Height: 15'
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Name rl trabe.4-14 044 rfACPAI Name: SAMULE ZAZA
Address: s,-,q(i ,,cAltivii in ton c In Ali Company: JUST SHUTTER ITINC
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City:: r-A Ownt--it_c)c).-t , Staie:LI.Zi- Address:11029 SW S.MACEDO BV
Zip Code: gels;''ce I Fax: I City: PORT ST LUCIE State-.FL
.___.
Phone No. 17D, - A Zip Code: 34984 Fax:
E-Mail:joSi- S k u -A,(rt. Oorvictkt I. COVII Phone No. 772-201-9919
Fill in fee simple Title Holder on next page(if different E-Mail: JUSTSHUTTERIT@GMAILCOM 1
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.
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S PPiliSO TA CONSTFR'CTION�lt-R O11! INFORI/IA`i'IOi � � . ;, . y r T f ti; s }
DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: Not Applicable
Name: . I Name: i ,
Address: - I Address:
City: State: :City: 's ' State:
Zip:, - Phone: ( Zip: Phone:
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FEE SIMPLE TITLE HOLDER: <Not Applicable BONDING COMPANY: �'Not•Applicable
Name: I Name:;
Address: I Address:City: I
Zip: Phone: I ZI Phone:
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I certify that no work oriallation has commenced`prior to the issuance of a permit.
St.Lucie County makes no presentation that is grating a permit will authorize the permit holder tobuild the subject structure
which is in conflict with anapplicable 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 gra ting of this requested permit,I do hereby agree that 1 will,in all respects,perform the work
in accordance with the app oved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building pe it applications are exemrt from undergoing a full concurrency review:room additions,
accessory structures,swim ing 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 youriproperty.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspecction.If you intend to obtain financing,consult with lender or an attorney before
commencin: w•rk or r-cordin_ our Noticelof Commencement.
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Sia atu - of 0 -r/Lessee Co acto 'nt for Owner ;_ ature of Contractor/License Holder
STATE OF FLORIDAs 1 STATE OF FLORIDA/
COUNTY OF i�' t ( (4 [,t, a COUNTY OF if• L 4 c.-e
The forgoing instrument as acknowledged before me The forgoing rostrum nt was acknowledged before me
this 127 day of Lc , 20 iLby this_/..? day of A1t 5 ,20/7 by
w..v‘, ' 1,4— s wt, 2 iri
(Name of person acknowl-dging) - (Name of person acknowledging:)
.
1Le/t4,l1
(Signature of Notary Publl -S to of Florida) I (Signatu're of Notary Public-Sta of Florida)
Personally Known V OR Produced Identification Personally Known )7 OR Produced Identification
Type of Identification Pro ucedtil y ^� I Type of Identifications Produced+
�' / /s-A� Ii r `G ,Y,c (Seal)
Commission No. f (Seal) Commission No.
1
Revised 07/15/2014
' REVIEWS FRO ZONING SUPERVISOR PLANS. VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW, REVIEW REVIEW REVIEW
DATE
COMPLETE
INmALs