HomeMy WebLinkAbout7380 pine creek way (County)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXX
PERMIT TYPE:SHUTTER
[ M�ED 1 PRCtY�WWIOCATION:
Address:�1?�R(j
Property Tax ID #:332 2, ��, a Ib c5oc� l Lot NOknI>— l I
Site Plan Name: -P Y- n� Block No.
Project Name: -eYln4 �fi7 r; a(O
DETAILED [�ESCFttTItN OFIORK::_
INSTALLATION OF ( 15) HURRICANE ACCORDION SHUTTERS
COiVSTREJTfON INECRIVATIDN:
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:
Cost of Construction: $ &95-1 -a,,
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
C}i11t1 ER�l 'SEE:
CONTRACTOR:
Name
Name: SAMUEL ZAZA
Address: M) CY4
Company:JUST SHUTTER IT
City: ST LUCIE Itate: Z —
Zip Code: Fax:
Phone No. 6, (j
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 License24293
-- ----- -• --••--••--• .•+r • .lw•c, a nL wm.,ru IYVLRA! V1 wmmencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
�UP�L�IU��IV�'AL �C�1�1�TRt��T1��1 LEEN L�� 11�1✓{��l1liA���}�t
DESIGNER/ENGINEER: xxx Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made 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
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ essee/Contractor as Agent for Owner
Signature of ContracV16cense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCiE
The forgoing instrument was acknowledged before me
this `(� day of q 20 ZUby
The forgoing instrument was acknowledged before me
this_( day of 20Zuby
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
(Sign ure of Notary Pu rc- State 01MA{a) ALYSSA A.T. SOWSER
* * Commission # GG 29593
Commission No. GG295930 Nom, eal�xplresJanuary28,2023
FoF pyo Bonded Th u Budget Notary Service
(Signature No a y Publi tate of Florida )
d i A:p;'B�, ALYSSA A.T. BOWSER
Commission No. GG 295930 * ( eMmmisslon # GG 29593
i� P`gr Expires January 28, 202
NOF F0 Bonded ThN
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.3�J�� a�3 mko coo i
State of Florida County of St. Lucie
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement.
Legal Description of Property: (and street address if available):
al 3Co 25 ±\,-at yk- Ck 1-4-c Z�- Mpl,)iN Gia i3pIs �410wA CLS Rine, << 6,q
Lkn i �- LI
General description of improvement: INSTALLATION OF HURRICANE ACCORDION SHUTTERS
Owner irxkrmafion or Lessee information if the Lessee contracted for the improvement:
Name ve hnu 6AWC 7 li;' Q
AddressD��D (' v-P.P -- I a )a \.l
Interest in property: UWNER '
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name: JUST SHUTTER IT
Contractor Address: 515 NW ENTERPRISE DR Phone Number: 772-201-9919
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ N/A
Name and address: N/A Phone number: --N/A
Lender Name: N/A
Lender's address: N,
Phone Number: N/A
Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section
713.13(1) (07., Florida Statutes:
Name: I
Address:
Phone Number: N/A
In addition to himself or herself, Owner designates N/A of N/A to receive a copy of the
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
Phone number of person or entity designated by owner: N/A
Expiration date of notice of commencement: (the expiration date may not be before the com etion of construction and final payment to the
contractor, but will be 1 year from the date of recording unless a different date is specified) FT3(a ?,nac) .
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowledeand belief.
(Signature o Owne r Lessee, or ner's or Lessee's Authorized Officer/Director/Partner/Manager *r°`...•`;8�� ALYSSA A.T, BOWSER
Commission * GG 295930
Expires
8n a a a8202e(Si 's Title/Office) FOFF�eoa 8e
STATE OF FL RIDA
COUNTY OF 1�lClQ
The foregoiW instru ent pas acknowledged before me by means of ® physical presence or D online notarization this `t day ofr7
20Z_0 by f MR Rlf� 1r(who is personally known to me or has produced DL- as identification.
ri
[NOTARIAL SEAL]
*AARY LIC, State of Florida