HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL C?NSTRUCT4,0.N
LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City: _L
Zip: Ph
of Applicable
MORTGAGE COMPANY: t Applicable
Marne:
Address:
City: State:
Zip: Phone:
State:
ne:
FEE SIMPLE TITLE HO�DER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
BONDING COMPANY: of Applicable
Name:
Address:
City:
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 Horne 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 pasted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commer)tinR work or recording your Notice of Commencement. -- -`
as
Contractor/License Holder
STATE Of FLORIDA , �, STATE OF FLORIDAa
COUNTY OF �'� LVL1 COUNTY OF Jt _—VIA],-o
The foL, o,ing instrument was acknowledgee1by
fore me r
this_(day of ! ( 2O
Public- State of Florida )
finally Known OR Produced Identification
of Identificati n Produced
Commission
Revised 07/15/2014
AV,@ , A.T. BOWSER
* Commisslon # GG 295930
Bonded Thru Budget Nolary Serrloos
The forgoing instrument was acknowledged before me
this _Ljday of ((_, 20 0 by
(Name of
re of Notary Public-
Per4ally Known OR Produced Identification
Type of Identification Produced
Commission No. `766on- A
Ot�Y pU�
?_ ' •,mac
(Seal)
ALYSSA A.T. BOWSER
Commission # GG 295930
Expires January 28, 2023
Bonded Thru Budget Notary Serv{ce!
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST 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 3498,E
Phone: (772) 462-1573 Fax: (772) 462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION;
Address: Y1 _TC V_
Legal Descriptk)n: MpcQY\�Lr W<jy Q� r Q jof ' 1 Y as 1 — ,,. 4 _ clnt
Property Tax 10 #: � O C) Lot No.
Site Plan Name: C b5(A Block No.
Project Name: _ `l - 03 CA_
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
INSTALLATION OF (�J FBC-APPROVED ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:
A a U Etiona wor<to b PPIumbing
orme un er
DHVAC Gas Tank
DElectric
Total Sq. Ft of Construction:
Cost of Construction: $Z
tms permit —cnecK all tilat apply:
Gas Piping Z Shutters
Sprinklers E Generator
5 Ft. of First Floor: _
Utilities: oSewerE] Septic
❑, Windows/Doors
E] Roof Roof pitch
Building Height: 15'
OW,NERjLESSEE:
CONTRACTOR:
Name L Y)r it ' o
Name: SAMIILE ZAZA
Address:
Company: JUST SHUTTER IT INC
Address: 1029 SW S. MACEDO BV
City: Lv State:
Zip Coder b (p Fax: ��
City: PORT ST LUCIE State: FL
Phone No.-71 121 9\Q 20 Iq
Zip Code: 34984 Fax-
Phone No. 772-201-9919
E-Mail: �� r C� o, (-
Fill in fee simple Title Holder on next page (4)different
E-Mail: JUSTSHUTTERIT a@GMAIL.COM
from the owner, listed above)
State or County License: 24293
__._ _. ,.....,., ..,,...� V ,vim W- MUI C, 45 hr$.Wr%LJr:W IMULICe or Commencement is required.