HomeMy WebLinkAboutBuilding PermitAll 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
PERMIT TYPE:SHUTTER
�0?)SED (MPFflEl=l r 2-0 - t �g
.._ , ..
Address:l�
Property Tax ID #: _� � � I - (3( ` 000 _Z Lot No.fp
Site Plan Name: Block No.
Project Name: 5�- kLA
i
INSTALLATION OF ( C1 ) HURRICANE ACCORDION SHUTTERS
1,21 11"Offill NO
0
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping -AShutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
4
Cost of Construction: $ , 2 Lf"A C1 Q( Utilities: —Sewer _Septic Building Height:
ca
Name
Name: Name: SAMUEL ZAZA
Address: 1-160 �'nacod V"
Company:dUST SHUTTER IT
Address: 515 NW ENTERPRISE DR
City: ST LUCIE State: l—
City: PORT ST LUCIE State: FL
Zip Code: j�IcC Fax:
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
State or County License24293
from the Owner listed above)
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. _
Zip:
Phone
xxx Not Applicable MORTGAGE COMPANY: 1 Not Applicable
Name:
State
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
Zip:
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 OMIrENCEMENT MUST BE RECORDED AND
POSTED ON THE .166 SITE BEFORE THE FIRST INSPECTION. IF YOU IEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO CE OF COMMENCEMENT."
Rev. 2/7/19
Signature of Owner/ Lessee/Contract6r as/Agent for Owner
Signature of Co for/License der
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY 0FSTLUCIE
The forgoing instr ment was acknowledgedefore me
The forgoing instr ent was acknowledged before me
A"
this day of��1�. j� 20Uby
this C\ day of , 202, �y
_4
SAMUEL ZAZA
SAMUEL ZAZA
Name of perso king statement.
Name of person making statement.
Pers ally Known XXX OR Produced Identification
Personally Knowfi-' —, OR Produced Identification
Typfa of Identification
Type of Identj kation
P oduce =
Produced if
i4
e•
\
/j ��
d
( o ary Public- State of Florida)
(Signatur � as Public- State of FlgGo ALYSSA A.T. BOWSE
a,�aav PU, ALY$SA A.T. BOWSER
Commission No. GG295930 �',••"'•. o (Seal),
V ' �� '��� ommission # GG 295
Commission No. GG295930 } I January 28,21",
fission # GG 295930
wd ��a
xpires
"I't
Expires January 28. 2023
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Uuaget NotaryServices
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19