HomeMy WebLinkAboutBuilding Permit ApplicationALL 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 34982
Phone: (772) 462-1553 Fax: (772) 462-1575
PERMIT APPLICATION FOR: Shuster
PROPOSED IMPROVEMENT LOCATION:
Address: 2C? nn ply
Legal Description: 1-t
Commercial
Residential xxx
Property Tax la #: '6 k 1 0 O D t) 01 Lot No. b
Site Pian Name: SrV
o VzrLbua Block No.
ProjectName: _.
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Side: Left Side:
INSTALLATION OF CLA Y FBC-APPROVED ACCORDION SHUTTERS
0 -y -A \ Cllr 9"V1
CONSTRUCTION INFORMATION:
Additional work toe e orme un er t es permit - c ec a appy:
HVAC [] Gas Tank ❑Gas Piping ZShutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator � Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of Firstj Floor:
Cost of Construction: $ i T. Utilities:[]Sewer L (Septic Building Height: �5!
OWNER/LESSEE: CONTRACTOR:
Name
Address: 1"j a.`jC7 C Y oC C_N
City: ct�C\A Ly 6-e— State: FL
Zip Code: _ 4(?i7 Fax:
Phone No.
� _- 1 1 -._ „ 524 _ T
E-Mail:Y aicvra;� • _OyvA
Fill in fee simple Title Holster on next page (if different
from the Owner listed abode)
Name: SAMULE ZAZA
Company: JUST SHUTTER IT INC
Address: 1029 SW S. MACEDO BV
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax:
Phone No. 772-209-9919
E -Mail: JUSTSHUTTERIT@GMAIL.COM
State or County License: 24293
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU
DESIGNERIENGINEER:
Name:
Address:
ON LIEN LAW INFORMATION:
Not Applicable
City: State
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:Not Applicable
Name:.
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
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, l 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 irst inspection. If you intend to obtain financing, consult with lender or an attorney before
commenci'da work or recording your Notice of Commencement.
re
as Agent
STATE OF FLORIDA AUNTYCIF
ATE OF FLORIDA
COUNTY OF S- 1 Af �E P'
The forgoing instrument was acknowledged,�efore me The forgoing instrument was acknowledged before me
this day of I Zo jl► by this _ day of 20 _L(�_ by
(Name of person a
(Name of person acknowledging)
(Signa re o otary Pub ic- State of Florida) (Signatur bf Notary Public- tate of Florida )
Per anally Known OR Produced Identification Perso 111 Known R Produced Identification
Ty a of Identification Produced Type of Identif tion ProdCucerd�
Commission No. ,qS°I o rU (Seal)AtYSSA A.T.aowsl:l� Commission No. G G � 15-1 �Q (Seal)
oto i� ALYSSA A.1 So
Commission # GG 29593 , .••, Commisslon#GG
anus m� o Expires Anuary 2
Revised 07115/2014 EarF�°ate SondvarnruaudgetNmorySKVIC" ''eofo 8oMedTixu6udgetN0h
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS VEGETATION
REVIEW REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS