HomeMy WebLinkAbout9257 Short Chip Cir COUNTY CPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY
F L O: k r .r
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
Permit Number:
Building Permit Application
Commercial Residential xxx
Andres co�__
Property Tax ID #: U Lot No.— 4_1�
Site Plan Name: Block No.
Project Name: v 'Dfe__
DETAILED ;DESCRIPTION OF WORK -
INSTALLATION OF ( ) HURRICANE ACCORDION SHUTTERS OLn
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping A Shutters
T Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: —Sewer —Septic Building Height:
Name
Address: %�(`jr 1
City: ST LUCIE Stater
Zip Code: Fax:
Phone No. , S �S
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: SAM U EL ZAZA
Company:JUST SHUTTER IT
Address:515 NW ENTERPRISE DR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax: —
Phone No 772-201-9919
E-Mail JUSTSHUTTE:RIT@GMAI L.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.
fSUPPLEI EN Ai ONSTR CTf�N �i0Nl [�A1ft1 WIN
FORMATION
DESIGNER/ENGINEER: xxx Applicable Not - A Y• _.. ,.
-- pp MORTGAGE COMPANY: �O Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City. City:
Zip: Phone: Zip: Phone:
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 COMMENCEMENT MUST BE RECORDED AND
POSTED ON HE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
5 nat e of Owner/ Lessee/Cor` actor as Agent for Owner Sig of Contractor/Licens Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OFSTLUCIE
The facing instrument was acknowledged,before me The fo oing instrument was acknowledged before me
this day of , 20 by this day of o] p 20,90 by
SAMUEL ZAZA SAMUEL ZAZA
Name of person making statement. Name of person making statement.
Personally K wn xxx R Produced Identification Personally Know R Produced Identification
Type of Id ntification Type of (dent' cation
Prod e Produce
(Sign ure o ary Pu ic- State o l , ALYSSA A.T. BOWSE (Sig ry u !ic- Sta#e of i% }
k Commission # GG 29593 i. Commission # GG 2S5!
Commission No. GG295930 v, '•, x iresJanua
s, dal}ExpiresJanuary28,2fl2 Commission No. GG2e5930
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DATE
RECEIVED
DATE
COMPLETED