HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: SHUTTER
PROPOSED IMPROVEMENT LOCATION:
Address: �l
Permit Number:
Building Permit Application
Commercial Residential xxx
Property Tax ID #:3` (C
Site Plan Name:
Project Name: G, fes. r V, h�
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF (<) HURRICANE ACCORDION SHUTTERS
CONSTRUCTION INFORMATION.
Additional work to be performed under this permit– check ail that apply:
_Mechanical — Gas Tank —Gas Piping -A Shutters
— Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: w Sewer _ Septic Building Height:
OWNER/LESSEE.
CONTRACTOR:
Name Name: SAMUEL ZAZA
Address:���� ST LUCIE Cam an JUST SHUTTER IT
_— p Y•
City' State: L_ Address: 515 NW ENTERPRISE DR
Zip Code: n ' Fax: Cit PORT ST LUCIE
Phone No. Y• State: FL
Zip Code. 34986 Fax:
E -Mail: Phone N0772-201-9919
Fill in fee simple Title Holder on next page { if different E-MaildUSTSHUTTERIT@GMAIL.COM
from the Owner listed above) State or County License 24293
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.
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
xxx Not Applicable
State:
FEE SIMPLE TITLE HOLDER: -Not Applicable
Name:
Address:
City:
/-Ip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: �^ Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip:
Phone:
Not Applicable
State:
of 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 Horne 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 IMPP40YEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON T JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IN ND TO OBTAIN FINANCING, CONSULT
WITH YOUR I - ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTWE OF COMMENCEMENT'."
of Own44 Lessee/Contract r,7.s Agent for Owner
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this _K day of t 4, k,�\ 24r2c;by
SAMUEL 7AZA
Name of person making statement.
Personally Known xx `1 OR Produced Identification
Type of ldentifj ion �
Produced / //7
(mgnanre btJ�o`tary Public- State of.
Commissl n No. GG 295936
REVIEWS !FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
* Commisslon # GG 2
tl44 Expires January 28,
Bonded.Thru Budget Notary
of Contractor/License
STATE OF FLORIDA
COUNTY OFST LUCIE
The forgoing instrument was acknowledged before me
this _" day of Iti 24�, by
SAMUEL 7_A2A
Name of person making statement.
Personally Know OR Produced Identification
Type of Identi .cati
4du
e o tary Public- State of
. COMMISBIOn # GG 2
pmmission No. GG 295930 ;, F tl,,P,Ir
Ein,3sJanuary28,
es €vF Fi a a�bdeThru Budaet . v
ZONING SUPERVISOR PLANS VEGETATION I SER TURTLE MANGROVE
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