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HomeMy WebLinkAboutBuilding 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 PERMIT TYPE:SHUTTE RROPOSE©IMPRI�V/E NT.LOCAtl:O'N 1 INSTALLATION OF ( i j ) HURRICANE ACCORDION SHUTTERS �CQ.NSTRUCTION BNFORNIATiON. Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping Shutters T Electric — Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ ._ _ Utilities: _Sewer _Septic Windows/Doors _ Roof Pitch Building Height: OWNERAESSEE: ;: .CONTRACTOR: d. Name �, U Ct � i Name: SAMUEL ZAZA Address: - Company:JUST SHUTTER IT City: ST LUCIE State:— Zip Code: C,— Fax: Phone No. Address. 515 NW ENTERPRISE DR City: PORT ST LUCIE State: FL Zip Code: 34986 Fax: r� Phone No772-201-9919 E -Mail: Fill in fee simple Title Holder on next page t if different from the Owner listed above) E-MaiIJUSTSHUTTERIT c7.GMAIL.0©M State or County License 24293 If value of construction is 0S00 or mnra_ a RFrnRr n Nntira of rnmmanramant is Banti;—A If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNERI ENGINEER: Name: Address: City: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: xxx Not Applicable State: Not Applicable MORTGAGE COMPANY Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: 0 Not Applicable State: 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 COMM CEMENT MUST BE RECORDED AND POSTED ON TfiE .SOB SITE BEFORE THE FIRST INSPECTION. IF YOU IN ND TO OBTAIN FINANCING, CONSULT WITH YOUR JXNDER OR AN ATTORNEY BEFORE RECORDING YOUR NO E OF COMMENCEMENT." Signature of owner"Lessee/Contifa or as Agent for Owner Signature of Contractor/License "-41der STATE OF FLORIDA STATE OF FLORIDA 6� COUNTY OFSTLUCIE COUNTY OFSTLUCIE The f oing instrument was qcknowledged before me this.L day of 20 )by SAMUEL ZAZ.A Name of person making statement. Personally Known xxx Type of Identificatio Produced Ignatu of y Put Comm. slon No. OG295930 OR Produced identification The ing instrument was acknowledged before me forgo this day of 292Q by SAMUEL ZAZA Name of person making statement. Personally Known xxx Type of ldentifyCatigfi Produced � 7 l a AL7J5A A. i. nvvvacR (Signatu e of ary Pdt C�rnmissian � GG 295930 ea Il�xplres January 28, 2023Comml55lOn NQ - GG 295930 ~�Forct69: 9ondedThruBudget Notary Servi.:e OR Produced Identification 6�Rmv rc �r. ALYSSA AT �y o` Expires jcm. w rF©F FL6'?jjJ moi, 1(%) A,.' 7.8{)1N sGG2! } Gx,.iiws lar,aary 28, �TFDFF�OQ� Bor,&;!i a ;.�at Notary REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED