HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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 Residential xxx
Address: 6 t
Legal Description: 1 5 '-A" - �1 LCa" \ dZ
Site Plan !Name:
Project Name:!�l�P
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK.
Right Side: Left Side:
INSTALLATION OF CL5J FBC-APPROVED ACCORDION SHUTTERS
ckY\& 0 \far �o,"C_l
Lot No. 1 0 Z
Block No.
CONSTRUCTION INFORMATION:
Additional work to be Performea under this permit —check all VIA apply:
OHVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric Plumbing FISprinklers CiGenerator E]Roof Roof pitch
Total Sq. Ft of Construction: /l
Cost of Construction: $ Q l0
So. Ft. of First Floor: _
Utilities: 0 Sewer OSeptic
Building Height 15'
OWNERAESSEE:
CONTRACTOR:
Name!!—Q e 1
Name: SAMULEZAZA
Company: JUST SHUTTER IT INC
Address: rl�f � ( 5- }��
City:\(1Stater
Address: 1029 SW S. MACEDO BV
City: FORT ST LUCIE State. FL
Zip Code: Fax: ��
Phone No. -��
Zip Code: 34984 Fax:
E-MI! t P r t�- ig�G�� .(A
Phone No. 772-201-9919
Fill in fee simple Title Holder on next page( if different
E-Mail: JUSTSHUTTERIT@GMAIL.COM
from the Owner fisted above)
State or County License: 24293
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCDNSTRU IQN' LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE MOLDER: \t Not Applicable BONDING COMPANY: 1�/,Not Applicable
Name: '�J Name: [/
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 dome 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before
commending work orscording your Notice of Commencement.
as Aeent ter Owner
STATE OF FLORIDA STATE OFF
LORIDA Si
COUNTY OF f C/Gi �— COUNTY OF
The f oing instrument w s acknowledged before me
this T day of � 20 i1by
(Name of person
otary Public- state
The for oing instrument was acknowledged before me
this day of 20 / 9 by
&- VVL� 21151__ --
(Name of person acknowled Kg-J --a,,
(SignatAre of Notary Public-
Per�ally Known OR Produced Identification Personally Known OR Produced Identification
Type of identification Produced Type of Identificaron Pr uced
Commission No.GG 31�3 0 (sg E{,� Commission No. V�Jcl (Seal)
i°t.•Y•p• � A YSSA A.T. BOWSER 1pftY Fu ALYSSA A.T. BOWSER
Commission # GG 296930 :° .• ••�'�
cpF FLo4�� Banded ExpiresJanuaryJBudgelNotary Se t ee T ax Explres January 28, 2023
Revised 0711512014 �OFf4�Q Bonded ThmNdgefttarYservkea
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