HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETE FOR APPLICATION TO BE ACCEPTED
Hate: -- Permit Dumber:
Bull ing Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential �a
PERMIT APPLICATION FOR: Shutter)
PROPOSED IMPROVEMENT LOCATION:
Address:. C�ua tJ+ RL
Legal Description: -9at
CL7�- e It . r
_..
Property Tax fD ##: Lot No.
Site Plan Name: 10, V e, S l��r S �'1 Block No.
Project Name: O&Y C
Setbacks Front Back: Right Side: Left,Side:
LDETAILED DESCRIPTION OF WORK:
INSTALLATION OF ap} FBC-APPROVED ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:
Additional work to e Derformea under tritsipermit -- CrIeCk all t= apply:
®HVAC Gas Tank E]Gas Piping I ✓ 15hutters Windows/Doors
Electric El Plumbing Sprinklers I Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of Firstj Floor:
Cost of Construction: $ 3 U�� Utilities: Sewer 1 �1Septic Building Height: 15'
O -NER/LESSEE:
CONTRACTOR:
Name art' V-)
Name: SAMULEZAZA
Company: JUST SHUTTER IT INC
Address: 101 C_
City: C i
State: f_
Address: 1029 SW S_ MACEDO BV
Zip Code:Fax:
City: PORT ST LUCIE State: FL
Phone No. 'I
Zip Code: 34984 Fax:
E-Mail: I _
Phone No. 772-201-9919
Fill its fee simple Title Flo er on next page (if
different
E-Mail: JUSTSHUTTERIT@GMAIL.COM
from the Owner listed above)
State or County License: 24293
11 xaluc U„ Louc,surucuon is 9G3uu or more, a KtLUKUtil NOXICe or commencement is required.
SUPP.LEME ITAL CONSTRUCTIOU LIE
DESIGNER/ENGINEER. Not Apt
Name:
Address:
r1ty.
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commen
I LAB! INFQRi ATION:
icable MORTGAGE COMPANY, Not Applicable
Name: --
Address:
State:
ate' City:
Zip: Phone:
le
BONDING COMPANY:
Name:
Address:
r;t-%#-
Zip:Phone:
prior to the issuance of a permit.
of Applicable
St, Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure. PleaseLconsult withpyour applicable
0 niters Assocation andreviewb your deed for any restrictions wrestrict
ich maor
apply prohibit such
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'Buiiding Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER; Your failure to Re4d a Notice of Commencement may result in your paying twice for
improvements to yourproperty. A Notice of Commencement must be recorded and posted on the jobsite
before the fist inspection. If you intend tci obtain financing, cans lit with fender or an attorney before
commenci work or-Kcording your Notice of Commencement. y -
s
5igna re of Owner/Lessee/Contractor as t fot Owner 1�71
f Contractor/License Holder
SATE �F FLORID FL®RI®COUNTYOF �COF�The for sing instrument was acknowledg efoe me The orgong instrument was acknowledged before me
this � day of 2t�by this ��day of 0.r'1 20 _aD by
t\ O&Lkc ( Z4
{Name of ger n o ]edging) (Name of p sgfr ackryledgi j
of Not— a jIV61jc- State of Florida)
Personally Known A 0R Produced Idi
Type of Identificationn__Produced
Commission No 1�AS �6 omY 1�199
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
BATE
COMPLETE
INITIALS
4 A.T. BOWSLK
slon # GG 29593
January 23, 202
re o Notary Public- State of Florida)
Personally Known _ / ` OR Produced Identification
Type of Identification Produced
Commission N ��- q;�avlPU6{5LeA,7, BOWSER
�tAc« Commission # GG 29593)
L'ottded Strcu Budget Nola-y $c: -: �c•,;
EGETATI
ATURT
EVIEWOR I
PLANS I REVIEW VREViEWON S R V FWLE MANGROVE