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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I 106 :O NT 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 Address: Permit Number: Building Permit Application Commercial Residential xxx Property Tax ID #:, D[� Site Plan Name: y Project Name: L n -' n INSTALLATION OF ( HURRICANE ACCORDION SHUTTERS Lot No. L 1 Block No. Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank _ Gas Piping A Shutters Windows/Doors Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ ' . Generator Sq. Ft. of First Floor: Utilities: — Sewer _ Septic Name .11 — -y� jale Address: City: ST LUCIE Stater Zip Code: t; Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: SAMUEL ZAZA Roof Pitch Building Height: Company:JUST SHUTTER IT Address:515 NW ENTERPRISE DR City: FORT ST LUCIE State: FL Zip Code. 34986 Fax:— Phone No 772-201-9999 E -Mail JUSTSHUTTERIT a@GMAIL.COM 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. DESIGNER/ENGINEER: Name:_ Address: City: z Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Ad d ress: City: Zip: Phone: xxx Not Applicable State: Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name:_ Address: City:_ Zip: Phone: 1-0 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 94PROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED Oki THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YO LENDER OR ANA NEY BEFORE RECORDING YOUR NO E OF COMMENCEMENT." re of Owner/ Lessee/Contr to as Agent for Owner Signa re of Co actor/License Holder STATE OF FLORIDA V I S COUNTY OFSTLuae TATE OF FLORIDA P COUNTY OFSTLUCIE The forgoing instrument was acknowledged before me this r_,day of 2i4, by SAMUEL ZAZA Dame of person making Personally Known xxx Type of Identifi , Oo Produced COmmis5idn No. GG295930 REVIEWS IFRONT COUNTER RECEIVED DATE COMPLETED ent. Produced Identification W11'daisslon # GG 295930 Expires Jamiary 28, 2023 — "Orrk.0 50AedThruBudget1`10tarySerYitas The forgoing instrument was acknowledged before me this q� day of 2i3 z: by SAMUEL ZAZA. Name of person making statement. Personally Known xxx Type of Identificatior✓ Produced ,/ (Signatu -N04-y_Puk Comm n No. GG 295936 ZNINGUPERVIS IGITATI R©VIEW I S REVIIEWOR � REVIEW IANS I VREVIEWON R Produced Identification C- State of Florida P erc ALYSSA A.T. BO o�PRv ? Commission # GG N�rE Expires January 2 OF Ft9wo SondWhru Budget Nott SEA TURTLE MANGROVE REVIEW REVIEW