HomeMy WebLinkAboutBuilding Permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:SHUTTER
Building Permit Application
Commercial Residential xxx
RROPQSED IMPRO.VEMEKT L. C iT1C)Ri71
Address: 1 T ' E
Property Tax ID #: P,Q \ OCA C00 3 Lot No.
Site Plan Name: r1 ��fcvyao Block No.
Project Name: r_1'G`1_ \ F_r\ ' M\/_)
INSTALLATION OF (a(� HURRICANE ACCORDION SHUTTERS
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters
T Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 2(p 3 1
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic
Windows/Doors
Roof Pitch
Building Height:
7 .. E/LE$SEE:CONTRACTOR;
Name bar
Name:SAMUEL ZAZA
n
Address: —1i-{ ��j j (����°��� �y (��
Company: JUST SHUTTER IT
City: ST LUCIE State: l_
Zip Code: Fax:
Phone No.
Address:515 NW ENTERPRISE DR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax: �--
Phone No772-201-9919
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailJUSTSHUTTERIT@GMAIL.COM
State or County License24293
IIIVIC, d Rrwttvw NOEICe or Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLE�1/IENTAL CoivsTRUCTIO�V
LlEI��LA� I]�Q�R �TIQ�1����� ��� ��-�� �»� `..........��.����'
=v
DESIGNER/ENGINEER: xxx Not Applicable
MORTGAGE COMPANY. �O Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
_1)9Not
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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.
y
whichisis inc onflictctawith any applicableiHo that
Owners Association rules authorize
bylaws or the permit
that mayidrestrictborproh
bit 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 COMMENCEMENT MUST BE RECORDED AND
POSTED ON TH , JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
'TICE
WITH YOUR L DER OR AN ATTORNEY BEFORE RECORDING YOUR OF C CEMENT."
Eas
"Greof
Lessee/C tr for Agent for Owner
gnature of Contractor/Li n Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
The forgoing instr ment was acknowledged before me
this day of Vol 20 I by
The forgoing instrument w s acknowledged before me
this day Y
�
of U 20_�, 1 by
SAMUEL ZAZA
SAMUEL Z_AZA
Name of person making statement.
Name of person making statement.
Personal) OR Produced Identification
Perso n xxx OR Produced Identification
Type of dentification
Typ of Identificat n
Produ ed
6.
Pr duced
(Sign atu otary Public- State of Florida)
(Signature of Notary Public- State of Florida )
,spa .Puk ALYSSA A.T. BOWSER
Commission No. cc295930 =° ° mmisslon#GG295930
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Explres January 28, 2023
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Commission No. GG295930 2
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