HomeMy WebLinkAboutBuilding Permit Application ALL APPUCABLE INFO MUST BE COMPLETED FOR-APPLICATION TO BE ACCEPTED
Date: 11—5-1 Permit Number: J R
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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)4624553 Fax:(772)462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: Shutter ! I
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Address: -1 (XI''as V\I ex. 0Y--c\ Nr4 NY 1
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Legal Description: ReServe. pio,...nta.1.«.\-10)A- Pna. 6 t- 1.--0i- 11 I
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Property Tax ID ft: S--9\l''60 k- Oa tn • 06o,b .
, Lot No.
Site Plan Name: 00S.C..plA -IIDOC:t I Block No.
Project Name: 0 0C...0-1 1:7-k 00d
Setbacks Front Back: Right Side:_ Left Side:
DETAILOXOESCRIPTIONOEMORKi,:-..z'
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INSTALLATION OF(a) FBC-APPROVED ACCORDION SHUTTERS
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CONSTRUCTION INFORMATION:
Additional work to bpsvforined under this permit-check all;ha;a ppri:
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HVAC LI Gas Tank EjGas Piping :L Shutters 0 Windows/Doors
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1:IElectric 0 Plumbing E Sprinklers [21Generator 0 Roof Roof pitch
Total Sq.Ft of Construction: Sqf..4.of FirstAor:
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Cost of Construction:$ LI)5 CL> Utilities:I a.Sewer LJ Septic Building Height:
!101400114$2:gg:. ;:2:::iII) 1:-I' Vf$::IIIII:4Ii4Ics ;N:I'igI :700140140i,Fel-VIP?III'lIII''?I';i'' '''jt3''''''I'II
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Name ..,36'FNC ph El006 ' Name: SAMULE ZAZA. I
JUST SHUTTER IT INC
Address: -1(t?<4'Z. V.).eaverk. \NI PAI Company:
City: Sat.Y1,-t- DJC . State: . 'L. Address: 1029 SW S.MACEDO Bk(
Zip Code: 3 LB€`02 , Fax: -- City: PORT ST ST LUCIE I State:FL
Phone No. 11 2 261 '1'10 Zip Code: 34934 - Fax
E-Mail: ----- Phone No, 772-201-9919
Fill in fee simple Title Holder on next page(if different E-Mail: JUSTSHUTTERIT@GMAILICOM
from the Owner listed above) State or County Ucense: 24293
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I I
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40PAEME. Ite:CO '' k ."'1 ' ' ; ' ' ''' ANNATIO ::',.`'''''1,i'i"f•-'-: '7,7,%.,..".-,"&-•",,,,!?.•40:1",4- ,"fi:',...."'" :',.'rn,",--f,,,"="1"-,""..",
t -,,,,:- , 1,17.4.21.Witi!Ttlk " ::i7,- -c'T Irli.,--:,-S5t.i.-nit.i.l'r4,::g0',.4.:Wnia70;t:34" ,i,Y,:, ;.,
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: ! .44 Not Applicable
Name: Name: i r-
Address: * Address:
City: State: City: 1 .
State:
Zip: Phone: Zip: i Phone:
FEE SIMPLE TITLE HOLDER: NicNot Applicable BONDING COMPANY: i Not Applicable
Name: Name: i i
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Address: Address:
City: .City: ; I
Zip: Phone: Zip: ! Phone: i
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I certify that no work or installation has commenced prior to the issuance of apermit.-
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St Lucie County makes no representation that is granting a permit will authorize the permit holder to btrild the subjectstructure
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.
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In consideration of the granting of this requested perrnit,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. 1
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The following building permit applications are exempt from undergoing a full concurrency review:roortdditions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another on-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in voter paying twice for I
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
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ommencin work or recording your Notice of Commencement.
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SI atu of Owner ssee/Contractor as A,gent f Owner ": ature of Contractor/License Ho
a itlailake. s
STATE OF FLORIDA) STATE OF FLORIDA
COUNTY OF "i".1 ( (/1 t --4...... COUNTY OF.
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The for olng instrument was acknowledged before me The forging Instrument yras acknowledIgod before me
this day of 61ki ef
, 20,itrby this dapof All)V
,20 ty_by
514 1,44.,Kt(-- ,i/ ?A -
(Nang of person acknowledging) (Name of person acknowledging) I
27/114,241/( '
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I e.--L,3,11 „e_„//A.4.4
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Of Notary Public-State f;
(Signature of Notary Public-Ste of Florida) (Signature iorida)
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Personally Known X7" OR Produced Identification Personally Known OR Produced identification
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Type of Identification Produced . Type of Identification Produced 1
Commission No. 7 0 . c1 a Z Off P9 (SELL FREDttreal) 21.ICKS Commission No r*--'4 li,i(J (Seal)
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* kiY COMMISSION#FF 905422 i .4$1.1.1% MICHELL FFtEDERICKS
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44 e Bonded Dm Budget Noiary Sertlai I i' 11-e•t EXPIRES:Au.ust 2,2010
Revised 07/15/2014 , °"
bride Thrti Budget Notary Sento
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE t1
COMPLETE ,
INITIALS
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