HomeMy WebLinkAboutBuilding Permit Application (3) 1
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ALL APPLICABLE INFO MUST BE COMPLETED FOR.APPLICATION TO BE ACCEPTED
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Date: 1 '� 1 Ce - Permit Number: , g 1 y Ij 00
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Building Permit Application
Planning and Development Services
Building and.Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial 1 . Residential xxx
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PERMIT APPLICATION FOR: Shutter
p OPOSED°IMPROVEMENT LOCATION. ,
Address: `l (02, \eord WRY ,;E
$ x
Legal Description: Reserve. P xrrt. t . -1c-'v- pY10lS'e: 1' ►_p--- 1-1
Property Tax ID#: JJa.1''$Ot' 0011 ' 060-'Co Lot No.
Site Plan Name:_JOS>°.pfr ' -food Block No.
Project Name: J0SePh: '\000I 1
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Setbacks Front Back: Right Side: Left Side: i
I DETAILED DESCRIPTION OF lili'OR1c d {{`
.i. : ..S ham;.,- r.,.. � �:. _.?.:. ..: Y :.;-:-P.'.7.::'-':1:; -'-'?"
INSTALLATION OF.(as)FBC-APPROVED ACCORDION SHUTTERS
t z t , _COSTRUCIOMINOMTW ,
Additional work to be rformed under this permit—check all apply:
EJHVAC [Gas Tank ❑Gas Piping tShutters a Windows/Doors
0 Electric 0 Plumbing (Sprinklers El Generator 0 Root Roof pitch)
Total Sq.Ft of Construction: S .Ft.of First Floor:
jr 9fa ! n
Cost of Construction:$ 'Ta 5 d O Utilities: Sewer L.,___1Septic Building Height: 15'
0WSER/LESSEE:
,CO ITRACTOk
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Name JnS ph 'FlOOd Name: SAMULE ZAZA .�
Address: 1(4) 2 \Nycrir-\ \I\IN( Company: JUST SHUTTER IT INC1
City: Q LY\f' LAX State: .f L_ Address: 1029 SW S.MACEDO WI
Zip Code: 3q$'f0 ,Fax: City: PORT ST LUCIE I State:FL 1
Phone No. 1-12 20.( 410 Zip Code: 34954 Fax:
E-Mail: "-" Phone No.772-201-9919 j
Fill in fee simple Title Holder on next page(if different E-Mail: JUSTSHUTTERITQGMAILOOM
from the Owner listed above) State or County License: 2429.3 I
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i
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DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY: 14Not Applicable i
Name: Name:
Address: ' Address: f
City: State: City: I I. State: I
Zip: Phone: Zip: i Phone: 1
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FEE SIMPLE TiTLE HOLDER: ss/'Not Applicable BONDING COMPANY: LNot Applicable
Name: Name:
Address. Address:1, ,. I I
City: City: — 1
Zip: Phone:. Zip: Phone: I
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I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Countymakes no representation that is granting a permit will authorize the permit holder to btiid the subject structure I
which is in conflict with any applicable Home Owners Associationrules,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 vhlch may apply.
in consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,pe I rm the work 1
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 Iron-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,cons,It with lender or an attorney before !
commencin_,work or recording your Notice of Commencement.
Sly atu of Owner '-ssee/Contractor as Agent f Owner ature of Contractor/License Ho !ex l'
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STATE OF TATE OF`FLORIDA
COUNTY OF Iia FLORIDA,rr' ( (A t..*.. CouNTY OF 51 1 k"...c--C..J
The for inginstrument was acknowledged before me The fo oing Instrument s acknowledged before me
this day 0-4� , 20*by this day of flf8 V ,12o i "by
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(Nam'e.of person acknowledging) (Name of person acknowledging)
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lik71.-14•44,0? ---)/i/i.etio,4%-‘,/ .r.L\,ri :
(Signature of Notary Public-S• e of Florida) (Signature of Notary Public-State f Florida)
Personally Known X7°' OR Produced Identification` Personally Known l - '�,OR Produced identification
Type of identification Produced Type of identification Produced
Ar ty, p, 1
Commission No. ! 0 b +2, Z or Ft/. (SRO,EI L FREDE`HICKS Commission No. i (Seal) 7
' * Y,^~.f MY COMMISSION#FF 905422 oto;`..Z'it MICHELL FIEOERICKS
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Gt^i:, a-- "it t '7 • " Pe', I.
ZZ�tJiS�U7/Z5�2{�Z4 �4P,„,to0 Boned Mrs SedgerNotarySerial *�' ): * EXPIRES:Aus ct2,2O19 !
i 44,e0i,,,, Sow/afire Budge,Wary Services
REVIEWS FRONT I ZONING SUPERVISOR PIANS t VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW RE '(EW REVIEW
DATE
COMPLETE f.
INITIALS
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