HomeMy WebLinkAbout10308 Crosby PL Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:SHUTTER
Address:
Permit Number:
Building Permit Application
Commercial Residential xxx
Property Tax ID #: 332-1 -'T U 9 ` GULAO - UUU
Site Plan Name: U�Orr-
Project Name: 0j� er ('
INSTALLATION OF( `(9) HURRICANE ACCORDION SHUTTERS
Lot No.8,F)
Block No.
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank — Gas Piping A Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ _ 9 , 215()
OWNER/LESSEE:
Name --
Address: 10_�)0 8 C r-(I I 'DL
City: ST LUCIE State:
Zip Code: 3g9t 9 Fax:
Phone No.
E-Mail:
_ Generator — Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
SAMUEL ZAZA
Company:JUST SHUTTER IT
Address:515 NW ENTERPRISE DR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax: —
Phone No772-201-9919
E-MailJUSTSHUTTERIT@GMAIL.COM
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.
DESIGNER/ENGINEE}R:
PRO,
� Not Applicable
Name:
MORTGAGE COMPANY. Not Applicable
Name:
Address:
City:
Address:
State:
Zip: Phone
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
FEE SIMPLE TITLE HOLDER: 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con, 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.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.
IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOU LENDER OR AN ATTOR ORE REC DING YOUR NOTI OF COMMENCEMENT."
Signature of Owner/ Lessee/C actor as Agent for Owner Signature of Contractor/License H r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OFSTLUCIE
The fo�rg oing instru ent was acknowledged before me The forgoing instr �� nt�nras acknowledged before me
this G day of T24 20�` by this day of � 2 by
SAMUEL ZAZA SAMUEL ZAZA
of per m +nag statement. Name of person making statement.
o Ily Known xxx OR Produced Identification
f Identification Produced Identification
LNae
ed
gmi
(Signature of Notary Public- State Q�4:*,ida) ALYSSA A.T. BOWSERate E
_,1 ...,. <<, of Flr�r da
Commission # GG 295930 Commission
t* # GG 2 5
Commission No. GG 295930 !„ ,
eat)xpires January 26, 2023 Commission No. GG 295930 , Expires January28, 0
sOFFJo'� Bonded ThruBudget Notary Service FOFF\� Bonded Thru Budget Notary er'es
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
DATE
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
RECEIVED
DATE
COMPLETED
ev.