HomeMy WebLinkAboutBuilding Permit (2)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Shutter
PROPOSEDIMPROVEMENT LOCATION:
Address: "[ r r. I
Legal Description:
fi- 1-7
Commercial Residential xxx
Property Tax ID #: 6L)1 C a2. 000
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF L�) FBC-APPROVED ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:
Additional war to De i2erformed under Tis permit— cneck all apply:
C JHVAC Gas Tank ❑Gas Piping Shutters
11 Electric Plumbing Sprinklers Generator
Total Sq. Ft of Construction: f _ S . Ft. of First Floor: _
Cast of Construction: $_ _(p Utilities:Sewer Septic
OWNER/LESSEE:
Name I/\, OLY
n JAn 1AA e1v Yt k
Address: arCt r C'L
City: 4- CJ State: �L
Zip Code: 6 Fax:
Phone No.
E-Mail: 2
Fill in fee simple Title Holder on next page (if Wfferent
from the Owner listed above)
Windows/Doors
Roof Roof pitch
Building Height: 15'
CONTRACTOR:
Dame: SAMULE ZAZA
Company: JUST SHUTTER IT INC
Address: 1029 SW S. MACEDO BV
City: PORT ST LUCIE
Zip Code: 34984 Fax:
'Phone No. 772-201-9919
E-Mail: JUSTSHUTTERIT@GMAIL.COM
State or County License: 24293
i
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FL
SUPPLEMENTAL CONSTRU
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
iN UEN LAW INFORMATION:
of Applicable MORTGAGE COMPANY:
Name:
Address:
State: City:
zip' Phone:
Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
of Applicable
State:
Applicable
I certify that no work or installation 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 ft inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin fir work or-reSording your Notice of Commencement.17
as Agent for Owner enaturp of C'nntrnrtnr/t ira. LA-1 r s
STATE Of FLORIDA STATE OF FLORiDA�
COUNTY OF COUNTY OF
The fo ing instrume was acknowledgepefore me
this Tday of 20 by
(Name of person acknowiedgi
r�
ignatur f N ry Pub tate of Florida y
Person y Know OR Produced Identification
Type Identifcatioon Pro ed
Commission No. l� ace rp.a�c (5qAO5SA A,T. BbWSER
C0mmISsI0n # GG 295930
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Revised 07/15/2014 FOFFLp eondedThrvBudgelNotaryservices
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
The forming instrument was acknowledged before me
this �(1 day of 20 �by
(Name
(Signature'of Notary Public- State of Florida )
Personally(( Known _' --e3R Produced identification
Type of Identification Produced
Commission No. C(3G (Seal)
erg'+ PUB ALYSSA A.T. SOWSER
Commisslon # GG 295930
N Exores January 28, 2023
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REVEWOR REVIEW I VREV EWON S REV EWLE I M EVEWVE