HomeMy WebLinkAboutJoanne White City PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: og t ?_ q 12U20 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
PROPOSED IIVPROVEMENT Li3CATiUN. '
Address: 1014 70rr-rw `Vine, C1r
Property Tax ID #: _3-6Z2 - 50q - 00 y0 - 000 Lot No. 2cl 1)
Site Plan Name: - JOBlock No.
Project Name: Jocior e whiLe,
INSTALLATION OF ( I ) HURRICANE ACCORDION SHUTTERS 2 ) Ciecr-
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank — Gas Piping Shutters
_ Electric _ Plumbing T Sprinklers
Total Sq. Ft of Construction:
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
_ Roof _ Pitch
Cost of Construction: $ 9 5(9(D . -q,5 Utilities: —Sewer —Septic Building Height:
Name Jaarre. G�
Address: -�(M_ FG
Name:SAMUEL ZAZA
Company:JUST SHUTTER IT
City: ST LUCIE State: L_ Address:515 NW ENTERPRISE DR
Zip Code: 24A9 $(jD Fax: City: PORT ST LUCIE State: FL
Phone No
E-Mail:
Zip Code: 34986
Phone No772-201-9919
Fax:
Fill in fee simple Title Holder on next page ( if different E-MailJUSTSHUTTERIT@GMAIL.COM
from the Owner listed above) State or County License24293
it value or construction is -)z5uU 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.
SU:PPL'E�/IE�TAL C{3NSTE�CTf�N L'iE�l LAV1� IN�ORIVIATIQN
— pp MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip' Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: ---gNot 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 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. OTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED O HE JOB SITE BEFORE THE FIRST 1 ECTION.
IF YOU 1 END TO OBTAIN FINANCING, CONSULT
WITH YO ENDER OR AN ATTORNEY BEFOR DING YOUR CE OF CON NCEMENT."
ECOR
Ignature of Ow r/ essee/Co tr for as Agent for Owner
Signature of Contractor/License Id
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
The forgoing instr t s acknowledged before me
this day of 2Qby
The for gang instrument was acknowledged before me
"j
this lay of i 20� by
SAMUEL ZAZA
SAMUEL 7AZA
Name of person making statement.
Name of person making statement.
Personal n xxx OR Produced Identification
Type Ident' ' a ' n
Perso no xxx OR Produced Identification
Typ of Identificati n
Prod ed
Pr duced
(Sign e o otary Public- Sta Vey loridikLYSSA A..
(Signature of Notary Public- State Florida
' Commission # GG 295930
of )
Commission No. GG 295930ao! �1ps January 28, 2023
7T P
GG 295930 SPAY Fp
Commission No. ;i....,,�a1)ALYSSA,A.T.BOWSE
6 0� Bonded
OF F�
Commission # GG 295
30
Expires J.anua
3
REVIEWS FRONT ZONING SUPERVISOR
CORFtA BondedThruEludgetNotarySe Ice
PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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