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 Avenge, Fort Pierce FL .34982
Phone: (772) 462-1553 Fax: (772) 462-1575
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATIONa -
Address:
Legal Description:
01
Commercial
Residential xxx
Property Tax ID #: D 0 Lot No.
Site Plan Name: 5�� yr D w Block No.
Project Name:
Setbacks Front Back: Bight Side: Left Side:
DETAILED DESCRIPTION OF WORK.-
INSTALLATION
ORK:
INSTALLATION OF (J(0) FBC-APPROVED ACCORDION SHUTTERS 0.nd ( C -m r
pc�'rre_ i
CONSTRUCTION INFORMATION:
Additional work to ee orme under
HVAC Gas Tank
Electric ® Plumbing
Total Sq. Ft of Construction:
Cost of Construction:
OWNER/LESSEE:
perms - cneete air apply: -
Gas Piping ✓ Shutters Q Windows/Doors
Sprinklers LJ Generator Roof Roof pitch
5 Ft. of First Floor: _
Utilities:oSewer Oseptic
Name L Q r
Address: K
City: —State:L
Zip Code: Fax:
Phone No._N(C L�Qg a fry Rs—
E-Mail: -
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Building Height: 15'
Name: SAMULE,ZAZrA
Company: JUST SHUTTER IT INC
Address: 1029 SW S. MACE=DO BV
City: PORT ST LUCIE
Zip Code: 34984 Fax:
Phone No. 772-201-9919
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.
State: FL
_ SUPPLEME;NTAL CONSTRIi ON LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: of Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable
Name:
Address:
City:
Zip: Phone:
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 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 first inspection. If you intend to obtain financing, consuI with lender or an attorney before
comment R work or recordiniz your Notice of Commencement.
as Aunt for Owner
er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 1ucvt' _ COUNTY OF _ �i�_ lit
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged OL
me
this � day of 2Qby this day of i r`,, 2D 4�f by
`� C�A , Z A QWW LLti CJI
(Name of persorya�gknowl_eAging) (Name of person acknowledging)
Notary Public- State of
Personally Known OR Produced Identification
Type of Identification Produced
Commission
Revised 07/15/2014
(SeSSM A.T.BOWSER
Commisslon # GG 295930
aonded Thru 609aft"Service*
(Sig
nat a of Notary P lic- 5t�of Florida )
Pers aiiy Know OR Produced Identification
Type of identification Produced
Commission No .(:, (Seal)
400!4h, ALYSSA A.T. BOWSER
6A OR # 66 29S9S0
FRiExpkas J many 28, 2023
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