HomeMy WebLinkAbout7062 Maidstone DR Permit AppAll 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
PERMITTYPE:SHUTTER
PRcF fiIIRCIlE11�11=NT LOCATION:_
Address
INSTALLATION OF ( � (',) HURRICANE ACCORDION SHUTTERS
CONSTRUCTION INFORMAATION:
Additional work to be performed under this permit –check all that apply:
Mechanical Gas Tank _ Gas Piping -A Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: l
Cost of Construction: $ G� t
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Building Height:
OWNERILESSEE:
CONTRACTOR:
Name 'v . a t
Name: SAMUEL ZAZA
Address: `7 L) Lo I (N') 0! t S$
Company:JUST SHUTTER IT
City: ST LUCIE State: l—
Zip Code:.? Fax:
Phone No. i���i
Address:515 NW ENTERPRISE DR
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 License 24293
If value of construction is $2500 or more, a RECURML) Notice OT tAmmencementi a I MIMI Cu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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: -V, Not Applicable
Name:
Address:
Citv:
Zip: Phone:
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
Not Applicable
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 OT/THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
weru vni in riunrD nD Alu ATTnRNFY RFFnRF REcnRnING YOUR NOTICIE OF COMMENCEMENT."
Rev. 2/7/19
Signatu of Owner/ Lesse
ontra&/or as Agent for Owner
Signature o on actor/License o er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
The foing instrument wa
this - day of l�
acknowledgqd before me
2t `by
The forgoing instr men as acknowledg d efore me
this day of 20 by
a
SAMUEL ZAZA
SAMUEL ZAZA
Name of person making statement.
Name of person making statement.
P4Kno OR
Produced Identification
Personally Known XXX OR Produced Identification
T
Type of Identific ton
P
ALYSSA A.T. BOWSER
ommisslon # GG 295930
4rodce
(IiC- IO�d ��hryBud9�Noterysenloea
of Notary Public- State of Flr��) ALYSSA A.T. BOWSE
�to"�
Commission # GG 295
Com ission No. GG 215930
(Seal)
Com4sion No. GG 295930 * al�xpires January 28, 20'I
Bonded ThruBudget NOWYSee
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19