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
PERMITTYPE:SHUTTER
Address: I(�A NcYth LN
y
Property Tax ID #: 57,;)_'-A , `� oo(�) --1 Lot No.
Site Plan Name: �_ C�m.an �ah Block No.
Project Name: He r na Lll�e W f l
INSTALLATION OF O (,�) HURRICANE ACCORDION SHUTTERS Q.� � ����
��
[C:6NSTRUCTION INF0RMATI N:
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters — Windows/Doors
T Electric _ Plumbing Sprinklers _ Generator _ Roof
Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ (0 Utilities: —Sewer _ Septic Building Height:
_
S»
k
Name:SAMUEL ZAZA
Address: G UVGY�11 LIU Company: JUST SHUTTER IT
City: ST LUCIE State: l— Address:515 NW ENTERPRISE DR
Zip Code:Fax: City: PORT ST LUCIE State: FL
Phone No. Zip Code: 34986 Fax:
E-Mail: Phone N0772-201-9919
Fill in fee simple Title Holder on next page ( if different E-MailJUSTSHUTTERIT@GMAIL.COM
from the Owner listed above) State or County License24293
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.
L�1'�ENER/EMORTGAGE
V
COMPANY: � Not Applicable
:
Name:
ss: 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 bylaws
rules, 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 the Florida
plans, 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 COMMENCEMENT MUST BE RECORDED AND
POSTED ON TH JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR
L DER OR AN ATTORNEY BEFORE RECORDING YOUR NO CE OF COMMENCEMENT."
Si ure of Owner/ Lessee/Contra r as Agent for Owner
Signature of Contractor/License der
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
The forgoing instru lent was acknowledge before me
this day of 20 by
The for oing instrument was acknowledged before me
this 691 r day of 20�2Q by
SAMUEL 7 -AZA
SAMUEL ZAZA
Name of person making statement.
Name of person making statement.
Personally Known xxx OR Produced Identification
Personally Known xxx OR Produced Identification
Type ' n
Type of I �t' ication
Llde'
Produ
Prod ed
(Sign. ary Public- State°�9"'da )ALV . .
a ' ' `i Commission#GG 295930
((gnat re of Notary Public-Sta of calor a )
Commission No. GG 295930 * eat plres January 28, 2023
�%
T".a Budget Notary Services
<*a•, e ALYSSA A.T.130WSER
�° •• "•.�'�
Commission No. GG 295930 * * (§gr ssion # GG 295930
F'o Bonded Thru
Expires Januar� 23
N9TFOF
F�.°�\°� Bonded Thru Budget r o ary services
i es
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
_____F
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Te—v-.-27