HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: OZ ( 0q 120Z I 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: 'dbM cho'TN-)2�®ns iN Qy
Property Tax ID #: 353A - to 1 ' cio23 - G60- D Lot No. _
Site Plan Name: 1`7C\b\ O —Cl r^C'do Block No. A
Project Name: VC\b\U '�ir'C� 60
INSTALLATION OF (2-1) HURRICANE ACCORDION SHUTTERS
IONF�NE9RMATl 4
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
O1111kRAESSEE:
CONTRWR:
Name C\bp1UrC1C\0
Address: bbs3 ChCl(`('C ( )s \ICI W
Name:SAMUEL ZAZA
Company:JUST SHUTTER IT
City: ST LUCIE Q State: l—
Zip Code: q U(9 Fax:
Phone No.
E-Mail:
Address:515 NW ENTERPRISE DR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax: �—
Phone No772-201-9919
E-MailJUSTSHUTTERIT@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License24293
IT value of Construction is �iZ5UU 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/ENGINEER: xxx Not Applicable MORTGAGE COMPANY: 10 Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:_
Address:
City:
Zip:
Phone:
Not Applicable
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
Zip:
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 MPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED O THE JOB SITE BEFORE THE FIRST N5P CTIIOO ' YOU ! TEND TO OBTAIN FINANCING, CONSULT
WITH YO LENDER TTORN RECORDING YOUR NOYICE OF COMMENCEMENT."
ature of Owner/ Lessee/Cont act r as Agent for Owner
Signature of Contractor/License H r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
The forgoing instr� pent was acknowledged before me
this � day of `�� 2� by
The forgoing inst�1 ent was acknowledged before me
this � day oTe7 20(3N by
SAMUEL ZAZA
SAMUEL 7_AZA
Name of person making statement.
Name of person making statement.
Personal) nown x OR Produced Identification
Personally Know xxx OR Produced Identification
Type o dentification
Type of Id Ification
Prod ced
Produce
(Signature of otary Public- aY'E� FIoCComm'
(Sig ature of Notary Public- State QfitOgSida) ALYSSA A.T. BOWSER
slon#GG295930
N� o� Exx// res rr.lIttanuary 28, 2023
Commission No. GG295930 9rE^
* * Co mission # GG 295930
Commission No. GG295930
'l Bond i�d8udgetNotaryServlcee
N 4=(SIN�resJanuary 28,2023
9OFF��P Bonded Thru Budget Notary Services
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19