HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
a � ®
s
' 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
PERMIT TYPE SHUTTER
,.r ai7$` +3k-- ';�.cY Fs, - O;r ,�'Sa
� o ,osEo IiVIE7Rau MEl 7 I oC Tlal . � �h � � gyp £ �W
^M1 s`-.z`x 7 .r,;" _.:, .r s ;i .. '�: '^ sit:_�_ , '
,..... _ r
f y�
Address: ��
Property Tax ID#: �� Q `� - ' Lot No.
Site Plan Name: �e Block No.
Project Name:
INSTALLATION OF } HURRECANE ACCORDION SHUTTERS
41 . ,�� .. u.
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank —Gas Piping -A Shutters _Windows/doors
Electric Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ Utilities: _Sewer —Septic Building height:
Name ;4 x Name:SAMUE=L ZAZA
Address: �3`�� C;4 Jan Company:JUST SHUTTER ET
City: ST LUCIE State: lr Address:515 NW ENTERPRISE DR
Zip Coder L ' Fax: - City: PORT ST LUCIE State:FL
Phone No.
Zip Code: 34986 Fax:
E-Mail:
Phone No772-201-9919
Fill in fee simple Title Holder on next page( if different E-MailJUSTSHUTTERIT@GMAIL.COM
from the Owner listed above)
State or County Ucense24293
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.
777777
SUPPLEMENT 1L C0JVSTRUCTfO LIEN LAV11 IN�ORMATIQNAr
DESIGNER ENGINEER:� xxx Not Applicable MORTGAGE COMPANY: �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 Horne 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 I PROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED O HE JOB SITE BEFORE THE FIRST INSPECTION. IF YO INTEND TO OBTAIN FINANCING, CONSULT
WITH YOU NDE,R OR ATTORNEY BEFOR ORDING YOU OTICE OF COMMENCEMENT."
n e of owner/Lessee/Cpntrac or as Age t f Owner Si nature of Contractor is se Holder
STATE Of FLORIDA I,, STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The ot%oing instru ent was a cnowled d before me The forgoing instr eri ,was acknowledg�,d before me
this�day of �� 21] by this[ day of L1J U Z —(;" by
SAMUEL ZAZA SAMUEL ZAZA
Name of person making statement. Name of person making statement.
Personall XXX OR Produced Identification Personally Known xxx OR Produced Identification
Type o dentificati Typ dentific 'on
Produ Pr duc
ER
(Signature of Wo-tary Public-State of F4",) ALYSSA A.T.BOW E Sign ure of Notary Public-Sta idt�mmission#GG295930
C0mm!ssion#GG29 930 � �xnires January 28,2023
GG295930 * January 09bmmission No. GG295930 NT9r ��c �,74iu Budget N0t"Y etvices
Commission No. �� Expires 28, _ �orF"°
9rFOrF�°� BandadThru Budget Wary:ervices
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLF MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.