HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONS
DESIGNERIENGINEER.
Name:
Address:
City:
Zip: Ph
FEE SIMPLE TITLE BOLDER:
Name:
Address:
City:
Zip: Phone:
RUiCfION LIEN LAW INFORMATION:
Not Applicable MORTGAGE COMPANY,
Name:
Address:
State: City:
Zip: Phone:
Not Applicable
BONDING COMPANY:
Name:
Address:
r-ity.
Zip: Phone:
! certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
State:
blot Applicable
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 weth 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 f inancing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement
Agent
STATE OF FL®R1i3
COUNTY ®F V LI
i
The forgoing instrument was acknowledged before me
this 21ay of fyA 20a�10_by
(Name of perso
state of FI
Penally Known _ OR Produced identification
Type of Identification Produced]
Commission No. r !P Y pu(Se*.ysSA AT BOWSER
Commissloii # GG 295930
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
COMPLETE
INITIALS
Bonded fhru Budget Notary Services
STATE OF FLORIDA _ C I
COUNTY ®F 7L1
The forgoing instrument was acknowledged before me
this aDeay of �, J 0,_ n 20 3_0 by
Z(q
(Name of
s
(s' natui oTNotary Oublic- State of Florida)
Perso Ily Known OR Produced Identification
Type of Identification Produced
Commission No A.i. E30WSEFt
c commission # GG 295930
SUPERVISOR I PLANS
REVIEW REVIEW
F`pr Bonded Thru Budget Notary Services
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW
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 34982
Phone: (772) 462-155�1 Fax: (772) 462-1578
Commercial Residential xxx
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: i �l iAA r
Legal Description: D
Property Tax 1D #: �`Q C_�..0y 61_ _ Lot No_
Site Plan dame: C P-- A—\q Block No.
Project Name: �—k CA, Y�
Setbacks Front Back: Bight Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF (f I) FBC-APPROVED ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:
rtrona wor to e e orrne un er t rs permit — c ec a
OHVAC Gas Tank ❑Gas Piping
UElectric 0 Plumbing EjSprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ Q (�
OWNER/LESSEE:
Narne__t,- Un
TPA
Shutters Windows/Doors
Generator ❑ Roof Roof pitch
5 Ft. of First Floor:
Utilities:] Sewer 11 Septic Building Height:15`
Address: T Y] r4
City: r(fl State: EL
Zip Code: U Fax:
Phone No.
E-M ail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: 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
If value of construction is $.2500 or more, a RECORDED Notice of Commencement is required.
State: FL