HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
OUNTY
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:
Property Tax ID #:
Permit Number:
Building Permit Application
Commercial Residential xxx
Lot No.�`
Site Plan Name:
Block No.
Project Name:,PSP� trl 1
INSTALLATION OF (
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping A Shutters Windows/Doors
— Electric — Plumbing Sprinklers Generator Roof
—� Pitch
Total 5q. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $
Name ( ?(—
Address:
City: ST LUCIE State:
Zip Code: Fax:
Phone No.
E-Mail:
Utilities: —Sewer —Septic
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
Name: SAMUEL 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 JUSTSHUTTERIT@GMAIL.COM
State or County License24293
If value of construction is $2500 or mare, 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
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
xxx Not Applica
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
ZiP: Phone:
Not Applicable
tate:
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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 1 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 IMPR0YE NTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE J ITE BEFORE THE FIRST INSPECTION. IF YOU INTEND 70 OBTAIN FINANCING, CONSULT
WITH YOUR LENDW Olk AN ATTORNEY BEFORE RECORDING YOUR NOTICE Or COMMENCEMENT."
r/ Lessee/Contractor as
STATE OF FLORIDA
COUNTY OFSTLUCIE
Owner ! Signature o ontractor/License Holder
Th r ing instrument was acknowledged, before me
thiday of 20� by
SAMUELZAZA
Ivame of pers�king statement.
Persona Known xxx OR Produced Identification
Type of entific�,tiott�
Produ
l 'f'trbff+�= q'�f T-
FloM6SPA A.T B(5W
Cowniss€on # GG 295930
COmmI5510n No, GG 295930 o* Efgigljanuary26, 2023
FOF F%-0 Bonded Thru Budget Notary Services
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OFSTLUCIE
The for oing instrument was acknowledged before me
this dayof ! 209-)by
SAM UEL ZAZA
Name of pi
Personal Known xxx O Produced Identification
Type of dentificati0n
Produc
(Signature to Public- State of Florida j
o"W pus", ALYSSA A.T, BOWSER
Commission No. GG 295930 A ' `COTl9rAI in # GG 295930
�9rF o�o� pires
BondodTn Bud9stNolary SMI es
Or FL
SUPERVISOR I PLANS
REVIEW REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW