HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
uhdTY
F 1 0 R i D A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:SHUTTER
Permit Number:
Building Permit Application
Commercial Residential xxx
Address:
Property Tax ID #: CLot No.
Site Plan Name: Block No.
Project Name:_( C-
DETAILED DESCRtPT[ON OI^WORK:
INSTALLATION OF (i ) HURRICANE ACCORDION SHUTTERS
CONSTRUCTION INFORMATION
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters — Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ i '(9) r I SCI Utilities: —Sewer _ Septic Building Height:
O 11 _ER/LESSEE:
CONTRACTOR:
Name oc"
Name: SAMUEL ZAZA
Address::h�q iCl�Y�2�( �t ---
Company:JUST SHUTTER IT
City: ST LUCIE State: l—
Zip Code: � '( Fax:
Phone NoA 1 ( ci q ! I
Address: 515 NW ENTERPRISE DR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax: ----
Phone No 772-201-9919
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailJUSTSHUTTERIT@GMAIL.COM
State or County License 24293
_-_ _- ------. ___._.. '- _ , ----I � nvuL.a vi �_UfII1I1CnGeMenl IS requlrea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
StJPPLE'MENTAI� Ct3NSTRUC�T#QN irIEN LAW iNFQRNfA�`IQN
s
DESIGNER�ENGINEER: xxX Not Applicable
Sign re of Owner/ Less e/ ontractor as Agent for Owner
MORTGAGE COMPANY.
� Not Applicable
Name:
COUNTY OFSTLUCIE
Name:
The for oing instrument was acknowledged before me
this Z_ day of LA 20�by
Address:
Address:
SAMUEL ZAZA
City: State:
Zip: Phone
Name of person making statement.
City:
Zip: Phone:
State:
Personally Known xxx OR Produced Identification
FEE SIMPLE TITLE HOLDER: Not Applicable
Type of Identification
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
-
(Signature of Notary ublic- State of F rd a
Address:
R „•t,�� ALYSSA A.T. BOWSEF
City:
9 ," 41rCommission#GG 2959;
commission No. GGzsssso J$bal�xpiresJanuary28,20
'
City:
23 VrFOFF\-0
Zip: Phone:
rvices Bonded Tin Budget NotaryServl
Zip: Phone:
FRONT
ZONING
niA/AI R/ rnrwroAYTnn Arrenv■r_
PLANS
VEGETATION
SEATURTLE
,.%I ,-,,,,,,,, , HNPtiLaLion is hereby mace to obtain a permit to do the work and installation as indicated.
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
POSTEDN THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOOR LENDER OR AN ATTORNEY RFFnRF RFrnQnuur- vni in Aim rr r■� Is
-- ---- ----
=oontractor/viense
Sign re of Owner/ Less e/ ontractor as Agent for Owner
Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
The for oing instrument was acknowledged before me
this Z_ day of LA 20�by
The forgoing instrum nt was acknowledged before me
_L
�'"�
this day of 20a'1C-by
SAMUEL ZAZA
SAMUEL ZAZA
Name of person making statement.
Name of person making statement.
Personally Known xxx OR Produced Identification
Personally Known xxx OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
l
(Signa t re of Notary Piz ic- State of FI , FW9 )
e<< ALYSSA
-
(Signature of Notary ublic- State of F rd a
2a� ,,,, A.T. BOWS
R „•t,�� ALYSSA A.T. BOWSEF
Commission No. GG295930 Commission#GG29
Nyl Expires January
9 ," 41rCommission#GG 2959;
commission No. GGzsssso J$bal�xpiresJanuary28,20
'
moo= 28, 2
FaFF��P
23 VrFOFF\-0
Bonded ThruBudget Notary S
rvices Bonded Tin Budget NotaryServl
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/ 7119