HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO :MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Cate: �
Permit Number:
i
Buflaing Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, 'Fart Pierce FL 34982
Phone: (772) 462-1.553 Fax: (772) 462-1578 Commercial
Residential xxx
PERMIT APPLICATION FOR:
Shaffer
s,vlt-MUV! IVILNT-LOCATION:
Address:
Legal Description: 011) ry r
Property Tax lD #:
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: ` Lei Side:
--�
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF CZ FBC-APPRO)l
ED ACCORDION SHUTTERS
CONSTRUCTION WFORMATION:
�tiona war to e e orme un ert �s per,
UHVAC Gas Tank 0*5
Electric Plumbing �S'bri
Total Sq. Ft of Construction:
Cost of Construction: $ _ �S�j o�
OWNER/LESSEE:
Name 1i IFF- -es+
Address: ai tEL
City: �Je2� Co
Zip Code: 3 x:_
Phone No. CA.
E-Mail:
Fill in fee simple Title Holder on next page (if
from the Owner listed above)
nn — cneGic all 25hutters
applyPiping
nklers 11 Generator
S Ft. of First Floor: _
Utilities:[]Sewer Septic
Lot No.--a&--
Block No, C
Windows/Doors
Roof = Roof pitch
Building Height: 15- 5'
CONTRACTOR:
Name: SAMULE ZAZA
Company: JUST SHUTTER IT INC
FL Address: 1029 SW S. MACEDO 8V
City: PORT ST LUCIE
State: FL
Zip Code: 34984 Fax:
Phone No. 772-201-9999
-ant E-Mail: JUSTSHUTTERIT@GMAIL.CCtM
State or County License: 24293
If value of construction is $2500 or more, a RECORDED notice of Commencement is required.
SUPPLEMENTAL C0NSTRU 10R- EN LAW .1N
®IESIGNER/ENGINEER. I Not Applicable
Name:
Address:
City: Slate:
Zip: Phorje:
FEE SIMPLE TITLE HOB.®ER: Not Applicable
Name:
Address:
City:
Zip: Phone -
FOR ATION:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
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
YBARMONG TO OWNER: your failure to Retard a Notice of Commencement may result in your paying twice for
improvements to your proper-t},f. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencingmorlc or re -cording your Notice of Commencement. 4
as
STATE OF FLOIRIDA5
COUNTY OF
The forgoing instr meat was acknowledged before me
this �,7) day of 20 '�P_by
(Name of pexson acknowledging)
(SigIrallyKnown
tore of Nbtary Public- State of Florida I
Pers ?L OR Produced ldentification
Type of Identification Produced
Commission Ain 39 ;? .a�c(Se*YSSA A.T, BOWSER
Commission # GG 295930
.. „
STATE OF FLORIDA
COUNTY OF S�- 1�-
The forgoing instrument was acknowledged before me
this _t_ day of r 20 ay by
samo�c� za 7a,
({dame of persoriagknowledging )
Notary Public- State of Florida }
Perso4y Known T OR Produced Identification
Type of Identification Produced
�
Commission No. C1� l I t V.�!'ad�5eal}�LY55A A.T. BOWSER
commission # GG 295930
FOFCLo� BondedTtiruBudget Notary Se COS Fp fro, Bonded TtxuBudget Notary Swim
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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