HomeMy WebLinkAboutBuilding permit applicationAll 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
PERMIT TYPE:SHUTTER
Address: // 11
Property Tax ID #: �'-1 t� -1! (YyA 0do
Site Plan Name
Project Name:
INSTALLATION OF ( F-� ) HURRICANE ACCORDION SHUTTERS
CONSTRUCTION INFORMATION
Residential xxx
Lot No.7?�,_
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters _ Windows/Doors
T Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ (/7 7�
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name \ 1
Name:SAMUEL ZAZA
Company:JUST SHUTTER IT
Address:515 NW ENTERPRISE DR
Address:
City: ST LUCIE State: 'F I—
Zip Code: ,F— Fax: _
Phone No.!C)'� 1141 ('91
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax: '---
Phone No772-201-9919
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
if value of construction is $2500 or more, a RECORDED Notice of commencement is requires.
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
LIEN LAW 1NFbRMATl01
SUPPLEIIEI�1TAl,
C£N�TRUCTIN
77777777777777,
Not Applicable
MORTGAGE COMPANY:
.LO Not Applicable
DESIGNER/ENGINEER: xxx
Name:
Name:
Address:
State:
Address:
City:
State:
City:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
h4"r-. t.,A
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to uu the w0f K allu 1"S a Uv„ a ��«�•
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
irrr%nwry nrrnnc ncrnDnimr. Yn11D NQT1CF OF COMMENCEMENT."
1'111 H TUU LCIYUCK UK An 141 1 WIMI'61"- ■ u�5 v .
-- - -- -- - - -
Signature of Owner/ ssee/Contractor as Agent for Owner
Signatur f Contractor/License Holder
STATE OF FLORIDA
STAT OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
The fooing instrume t was acknowledged before me
�
The for oing instrument was acknowledged before me
this l day of 2002 by
this L day of _ , 20 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
n
Type of Identification
Produced
4eldtific
0
of Notary Public- State o Florida)
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FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
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MANGROVE
COUNTER
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DATE
RECEIVED
DATE
COMPLETED
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