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HomeMy WebLinkAbout9604 Crooked Stick LN 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 Address: L--k.(O( Property Tax ID #: Site Plan Name: Project Name: 5 F Y M INSTALLATION OF HURRICANE ACCORDION SHUTTERS C S Additional work to be performed under this permit– check all that apply: Mechanical — Gas Tank _ Gas Piping -AShutters Lot No. —\ Block No. Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ _ n l CA 1 Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: Name N " l\ Address: )} City: ST LUCIE State: ZL— iAZip Code: ` Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: SAMUEL ZAZA Company:JUST SHUTTER IT Address: 515 NW ENTERPRISE DR City: PORT ST LUCIE State: FL Zip Code: 84986 Fax: Phone N0772-201-9919 F -Mai! JUSTSHUTTERIT c@GMAIL.COM State or County License24293 It value of construction is 52500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. 77777 A� SiJPPL'S/INTAt CT QNSTRUONIN LAW #NF�R11/1AT[ON - - - _ - --•- • ••�--• �•� 4xxx DESIGNER/ENGINEER: lNot Applicable MORTGAGE COMPANY. Not Applicable Name: Name: Address: Address: City: State: Zip: PhoneState: City: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: f]IA/IUFi2/l'l1nlranrrno ACLIAl='�-. . r4 • Iuy I I. t+ppnc:auon 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 THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YO R LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO CE OF COMMENCEMENT." Signature of Owner/ Lessee/itractor as Agent for Owner Signature of Contractor/License 1 of r STATE OF FLORIDA STATE OF FLORIDA COUNTY OFSTLUCIE COUNTY OFSTLUCIE The forgoing instrument was a knowledg. before me The forgoing instrument was acknowledged before me this -47 day of, 20y this'_ day of _� 20 20by SAMUEL ZAZA SAM a EL ZAZq Name of person making statement. Name of person making statement. Personally 1Gnow xxx , %OR Produced Identification Personally Kngovn .XXX OR Produced Identification Type of Identific#on Type of Id e s icatioy Produced Produced, / s� is+gnatur Notary Public- State ��Qjprida 6SSA A.T. BGwSER (Signatt e of Notary Public- Stat f rida �tLYSSA A.T. B6WSER .,... ,.... n 1 Commissioi # GG 295930 a `° Commission No. cc295930 � * * * Commission#GG29593Q 9 o4(SE;IresJanuary 28,2023 Commission No. GG295930 ©4 (12ks January 28,2023 fFOFF�Oi Bonded 7hmBudgalNotary Servloea 9�FOFFLOQ� BondadThruBudget Notary Serviees REVIEWSi FRONT I ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED SUPERVISOR PLANS I VEGETATION I SEA LE � MANGROVE REVIEW REVIEW REVIEWREVW