HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO' MUST BE COMPLETED:FOR APPLICATION TO BE ACCEPTED
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Date, i Permit Number:
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m
- _ Buflaing PerIt AppliCatli®n
Planning and DevelopM lent Services
Building and Code Regdlation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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PERMIT.APPLICATION FOR: ghiift-F
Address: VInIA
�1 If&
CA
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Legal description: lelf1'
a— — 1 a
Property Tax ID #: 112a+
Site Plan Name: VU >Y�101C
Project Name: �(�
v '1 �[ [2i
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF CM FBC-APPRI(
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Commercial . Residential xa
'I f1 v V FJ -1 �6 -
-
Right Side: Left Side:
D ACCORDION SHUTTERS
Lot No.
Block No.
CONSTRUCTION INFORMATION: �
Additional work to bene rmed under t.is permit —c ec<a65hutters
apply:
IHVAC Gas Tank Gas Piping Windows/Doors
H
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total 5q. Ft of Construction:
So. Ft. of First Floor:
Cost of Construction: $ / Utilities: []Sewer Septic Building Height: 15
OWNERILESSEE. CONTRACTOR
Name �'fY Narne: SAMULE ZAZA
Address: fO! Company: JUST SHUTTER IT INC
City: l State: � Address: 1029 SW S. MACEDO BV
Zip Code:2 LG Q ��Q Fax: �� City: PORT 5T LUCIE State: FL
Phone No. ��' Zip Code: 34984 Fax:
E-Mail: kMPhone lVo. 772 201-9919
Fill in fee simple Title H61der on ext page(i'i different E-Mail: JUSTSHUTTERIT@GMAIL_C4M
from the Owner listed above) State or County License: 24293
If value of construction is $2500 or more, a RE i ORDED Notice of Commencement is required.
'j
SU-potEMENTAL- CO
®ESIG NER/ENGllNEER'
Name:
ACi dre55: i
City:
Zip: Pharie:
`RUCTION I [Ek L
�Not Ap ical
State:
INFORMATION
�O�TGAGE C&MpANy: 'KNot Applicable
Narne:
Address: State:
city:
Zip. Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable S®N®!NG COMPANY:
Name,
Marne:
Address: Address:
City:
City: Zip. Phone:
Zip: Phone;
_____ ----
Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
ermitwill authorize the ermit holder to build the subject structure
St. Lucie County makes no representation that is granting a i p
which is in conse consu{t any
applicable
lleme e C s FssAssociation
iiatian and revieuyyour deed for any restrEchtions which rr aor
aprohibit such
structure. Plea y perform the work
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects,
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
empt from undergoing a full concurrency review: room additions,
The following building permit applications are ex
accessory structures, swimming pools, fences, walils, signs, screen rooms and accessory uses to another non-residential use
WARNING in your
ng
ce for
TO OWNER: ffailure Notice oRecord a Noti Commencement Commencement
mu be recorded and posted on the �jobsite
improvements to your -property.
before the first inspection. if you intend to obtain financing, consult with lender or an attorney before
work ar Tecordln our Notice ak Cornmencernent.
Owner
STATE OF FILORI
COUNTY OF .—
Agent
The forgoing instrument was acknowledge��d-,,``b,�fore me
thisday of 2D aL
(Name of Rprs p acknowledging }
Notary Public- State of Fl
Penally Known OR Produced Identification
Ty of ldentificatiWn P?isduced
Commission No PUBlc(SeakK MSSA A.T. BOWSER
?.: rnmmisslorl#GG295930
re of Contractor/License
STATE OF FLORID
COUNTY OF
117X V
lFOF F�o� 9undedThru Budgel ldotary 52rv'ices
Revised 07I15/2014
The forgoing instrument was acknowledged before me
this i day of ( U Y �D , by
(Name
(Signature of notary Pu r- State of Florida )
Personally Known.%- OR Produced Identification
Type of, identification Produced!
Commission No !� (SeaI4ySSA A.i. BOWSER
'V'9Y Nlac
Cackmission#G — nl)q
REVIEWS FRONT ZONING SUPERVISOR I PLANS
REVIEW
COIIN TIER REVIEW
DATE
COMPLETE
INITIALS
gondedThr� 9udgekNflkary
VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW