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HomeMy WebLinkAboutB uilding Permit Application_ SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNERIENGINEER: Pot Applicable MORTGAGE COMPANY: of Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: of Applicable Name: 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 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 tV first inspection. If you intend to obtain financing, consult with lender or an attorney before commerycing work or recording our Notice of Commencement. as Agent for Owner STATE OF FLORIDA COUNTYOF ___ . The for oing instrument was acknowledged before me this ay of - 1oV> 20 �—may (Name of (Signet a of Notary Public -(State of Florida ) Pers ally Known � OR Produced Identification Typ of Identificcaation Produced Commission Nd7C `SI (Seal) RL"?e ALYSSA A.T, BOWSER Commission # GG 29593 ', o� Exp€res January 23, 2023 Revised 07/15/2014 f'F F�yo4 Bonded Thni Budget Notay Services 9TATE OF COUNTY OF ORIDA i ` � , The forgoing instrument was acknowledged before me this ay of i o,-v\_ 20 01�y a� (Name of person a0rr)wyAong) Type re ofAotary Public- State of Florida ) !nown '_� OR Produced identification dentification Produced Commission N a(Cc3 Y FOf (Seal) ALYSSA A.T, BOWSER Commission # GG 295930 Expires January 28, 2023 Banded Thru Budget Notary Services REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW ©ATE COMPLETE INITIALS ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Developmen t Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 349S2 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx PERMIT APPLICATION FOR: Shutter PROPOSED IMPROVEMENT LOCATION: Address: °J M Legal Description: 0-o �2-k- 40S f .. 1 PropertyTaxID #: Jai �C Site Plan Name: r\fl, iti iJY)� Project Name: V Setbacks Front U l 663 e:) NO j DETAILED DESCRIPTION OF WORK: Right Side: Left Side: INSTALLATION OF [Lb FBC-APPROVED ACCORDION SHUTTERS Lot No. Block No. CONSTRUCTION INFORMATION: Additional work to e ne ormed un er t is 1]HVAC D Gas Tank permit — ch eck a 11 that app y: ❑Gas Piping W_ Shutters Q Windows/Doors Electric Plumbing ElSprinkiers [ Generator Roof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ �_S 6 Utilities: Sewer Septic Building Height: 15' _ OWNER/LESSEE: CONTRACTOR: Name Name: SAMULE ZA7A Address: � Company: JUST SHUTTER IT INC ' City: cli W State:e� Woe Address: 1029 SW S. MACEDO BV Zip Code: TO Fax: City: PORT ST LUCIE State: FL Phone No. Zip Code: 34984 Fax: E-Mail: Phone No. 772-201-9919 Fill in fee simple Title Holder on next page ( if different E-Mail: JUSTSHUTTERIT@GMAIL.COM from the Owner listed above) State or County License: 24293 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.