HomeMy WebLinkAbout7213 Mystic Way JSI PERMIT APP COUNTYAll 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
PERMITTYPE:SHUTTER
Address:1
Property Tax ID #:
Site Plan Name
3
Project Name:
INSTALLATION OF (.)
Lot No.
Block No.
gM -E x WZMWM"'A'
HURRICANE ACCORDION SHUTTERS
CONSTRUCTION INFOiION:
Additional work to be performed under this permit-- check all that apply:
Mechanical Gas Tank _ Gas Piping -AShutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ SO LA � Utilities: � Sewer _ Septic
_ Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE
CONTRACTOR: 7
-
Name Ci-
Name: SAMUEL ZAZA
Address:_A
L
Company:JUST SHUTTER IT
City: ST LUCIE
Zip Code:
Phone No.
tate:lf
Fax:
Address:515 NW ENTERPRISE DR
City: FORT 5T LUClE State:FL
Zip Code: 34986 Fax:~
Phone N0772-201-9919
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailJUSTSHUTTERIT@GMAIL.COM
State or County License24293
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Sl7PPLl�iEIUTAL CC}NSTRUct I�N LIEN LAW 1N�Oft1/1AT(QN j
/ — Applicable MORTGAGE COMPANY: Not Applicable
7Name: 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 IMP EMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON T B SITE BEFORE THE FIRST INSPECTION. IF YOU 1 ND TO OBTAIN FINANCING, CONSULT
WITH
YOUR ND R OR AN ATTORNEYJELEFORE RECORDING YOUR N OF COMMENCEMENT."
i
]Holde
Sign of Owner/ Lessee/Contractor as A e for Owner
Signature of Contractor/License
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFsTLUGrE
COUNTY OFSTLUCIE
The fgWing instrument nias acknowledged before me
thist day
The forgoing instr ment was acknowledged before me
of 20-N by
this A day of 26-4d by
SAMUEL ZAZA
sAMUEL ZAZA
Name of perso aking stat ment.
Name of pa::
Personally own xxx 'Produced Identification
Personall dentification
Type of I ntification
Type of de
Produc
Produ d
t�� ALYSSA A.T. BOWSER
Signs ure otary Public- State of Florida)
(5ignatu ota lic- State ® 2 } 3
1es�v rue ALYSSA A.T. BB
Commission No. GG 295930 r°
CammiSsion#GCs
SEk Ns> oq Expires January 28, 202
96iimisslOn NO. GG295430 �OFFL� �Se6 dedThruBudgalNotaryServic
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or Expires January 2
, 202'
^`BorldedThru Budget NO
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