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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
12
+1►
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
Address: `R) \I ' A )OLN 1 l Nd %Xr
Property Tax ID #: 3
Site Plan Name:
Project Name: U
Im
INSTALLATION OF (() HURRICANE ACCORDION SHUTTERS
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: �7 Sq. Ft. of First Floor: _
Cost of Construction: $ r,> b �i�� Utilities: —Sewer _Septic
Name - lOC)) k-AUOJ A
Address: qc%( ,5V)crt car
City: ST LUCI'E/sem State: FL --
Zip Code: Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Lot No. 51
Block No. i—
Windows/Doors
Roof Pitch
Building Height:
ACTOR:
Nam�e:SAMUEL ZAZA
Company:JUST SHUTTER IT
Address: 515 NW ENTERPRISE DR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:.'
Phone
ax:`—
Phone No772-201-9919
E-MailJUSTSHUTTERIT@GMAIL.COM
State or County License24293
If value of construction is $2500 or more, a RECURIJEu Notice or 1-0mmencer11e11L U -N I CHUII �U-
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLELUI�NTA1, C©NSTRUC�'��N LIE111. LA1Al� 1NFQR�l1ATY��
� � � r f
MMORTGAGE
DESIGNER/ENGINEER:
xxx Not Applicable
Signature of Owner/ Lessee/Contractor as Ag60 for Owner
COMPANY: Not Applicable
Name:
STATE OF FLORIDA
COUNTY OFSTLUCIE
Name:
Address:
Address:
The fQrgoing instrr merit was acknowledp�before me
this day of lh 20 ?iby
City:
State:
SAMUEL ZAZA
City: State:
Zip: Phone
statement.
Name of6ca
Personall Known xxx OR Produced Identification
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
Produc'd
BONDING COMPANY: Not Applicable
Name:
a
\
Name:
Address:
R (Signatur of Notary Public- State of Florida )
Pua�, ALYSSA A.T. BOWSER
e ' o Commission # GG 29
Commission No. GG 295930 *
N. Expires Januar 28,
P Y
Address:
City:
City:
F40� Bonded Thru Budget Notary
S rvices
upP�` Bonded Thru Budget Notary Se; .= _
Zip: Phone:
Zip: Phone:
ZONING
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 IOYEMENTS TO YOUR PROPERTY. A NOTICE OF CO MENCEMENT MUST BE RECORDED AND
POSTED ON HE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
TEND TO OBTAIN FINANCING, CONSULT
ST Ir J vnl In 1 elu en nn A IU A V7nplUFv RFFnDF RFCnRnINC YOUR N ICE OF COMMENCEMENT."
Rev. 2/7/19
/P
Signature of Owner/ Lessee/Contractor as Ag60 for Owner
nature of Contractor/Licence Hol er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
The forgoing instrument was acknowledg d before me
�%
The fQrgoing instrr merit was acknowledp�before me
this day of lh 20 ?iby
this day of 20 by
SAMUEL ZAZA
SAMUEL ZAZA
Name of pers 'making statement.
statement.
Name of6ca
Personall Known xxx OR Produced Identification
PersonalOR Produced Identification
Type of entification
Type of I
Produc'd
Produce
a
\
�r
(Si ur ary Public- State of Floolp ALYSSA A.T. BOWS
R (Signatur of Notary Public- State of Florida )
Pua�, ALYSSA A.T. BOWSER
e ' o Commission # GG 29
Commission No. GG 295930 *
N. Expires Januar 28,
P Y
tPnY
930 GG 2ss93o ;P ' .. `' mission # GG 29592
commission No.5�
Expires January 28,2r?
o�
9rF0
N�rF
F40� Bonded Thru Budget Notary
S rvices
upP�` Bonded Thru Budget Notary Se; .= _
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19