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HomeMy WebLinkAboutBuilding Permit App111 APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 8 Corrlmer�ia! Residential XXX
Phone: (772) 462-1553 Fax: (772) 462-157
PERMITTYPE:SHUTTER
PR©POSED IMPROVEMENT. LOC
Address: ! 3
Property Tax ID ##:
Site Plan Name: k
wmss. itXM�W
E3.lTAIII=D DESCRIPTION OF WORK
I 61 NSTALLATION OF (C4 } HURRICANE ACCORDION SHUTTERS
10N LNFORMATiON•
I Lot No. l�
Block No..
Additional work to be performed under this permit —check all that apply:
Mechanical Gas Tank _ Gas Piping -AShutters _ Windows/Doors
Electric _ Plumbing —Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: t Sq. Ft. of First Floor:
Cost of Construction: $ Q J� Utilities: —Sewer —Septic Building Height:
OWN ER/LESSEE CONTRACTOR:
Name Name: SAMUEL ZAZA
Address:i v Company:JUST SHUTTER IT
City: ST LUCIE: Stater Address: 515 NW ENTERPRISE DR
Zip Code: (- S D--- Fax: City: PORT ST LUCIE State: FL
Phone No. Zip Code: 34986 Fax:.'
E -Mail: Phone No772-201-9919
Fill in fee simple Title Holder on next page ( if different E -Mail JUSTSHUTTERIT a@GMAIL.COM
from the Owner listed above) State or County License24293
If value of construction is $2500 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,
St1�PLEMENTAL �QIVSTRU�`F(QN l:1,EN I,IaW INF�R�1lIA�ON � -
DESIGNER ENGINEER: xxx pp ble
� �.�.::
—
Name:
MORTGAGE COMPANY. ble
ca Appii
Name:
Address:
Address:
City: State:
Zip: Phone
City: State;
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Nat Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: phone:
Zip: Phone:
OWNER/ C©NTRnrrnR ACCIrn11T. n__r.__�;
_ --- __ _ —... , r�N�i �auurr r5 rrGr uuy Uidde to obiain 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 IMP OYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
T
POSTED ON JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEW TO OBTAIN FINANCING, CONSULT
WITH YOUR L DER OR AN ATTORNEY BEFORE RECORDING YOUR NOT1CF nF COMMENCEMENT,"
r
Signatuce'of OwnerN-essee/Cory r, for as Agent for Owner Signature of C n ctor/License der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OFSTLUCIE
The f oing instrument was acknowledged before me
this day of _M�� 20y
SAMUEL ZAZ_A
Name of person making statement.
Personally Kn
Type of Ide
Produce
(Signatvire of
O!�Produced Identification
Public -
Commission No. GG295936
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
ev.
The f@,rgoing instrument was acknowledged before me
this b day of V 261Xby
SAMUEL 7AZA
Name of person making statement.
Personally Known xxx
Type of Identif- tion
Produced
.0"'"'W"Ua 1 (Sighature df Notary Publ
* Commission # GG 295930
Qc SE4res January 28, 2023
4i OF�LQ' ( Bond�dd Thru Budget Notary Services Commission No. GG295930
ZONING SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW REVIEW
Produced Identification
of Flo i 00 ALYSSA A.T. BOWSE
°ommission # GG 29
* ; al Fxplres January 28,
°onded Thru Budget Nolan `
SEA TURTLE MANGROVE
REVIEW REVIEW