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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