HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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 APPLICATION FOR: Shutter
(PROPOSED IMPROVEMENT LOCATION
l ddress• g 3 L d VJ�±L&n f`Fh
Legal Description: IPO b ao A 11C7 _�hQ. 'QQ&P n4, PL�lp 5- fls ±W_
Q%ne sz. l of (Q G � p � / n2 �go°l- �a5�)
Property Tax ID#: 3 a-1 �d �"" 00-74 - ()W -I Lot No. (0(0
Site Plan Name: Block No.
(Project Name: _-f�iLln�Pp
Setbacks Front Back: Right Side: Left Side:
!DETAILED DESCRIPTION OF WORK:..:
INSTALLATION OF I' O) MIAMI DADE APPROVED ACCORDION SHUTTERS
Iva- G' - //Vr 4C OAP(/INFORMATION:
nnAdditional work to be nertormed un er t is permit-check all apply:
LJHVAC 0 Gas Tank ❑Gas Piping Shutters a Windows/Doors
11Electric 0Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ � .5�,Q7) v Utilities:In Sewer El Septic Building Height: 15'
'OWNER/LESSEE: CONTRACTOR:
Name Name: SAMULE ZAZA
Address: q'±Ao Company: JUST SHUTTER IT INC
(City: PSG State:PL Address: 1029 SW S. MACEDO BV
Zip Code: 34 $�Q Fax: City: PORT ST LUCIE State:FL
Phone No. Zip Code: 34984 Fax:
E-Mail: — Phone No. 772-201-9919
Fill in fee simple Title Holder on next page(if different E-Mail: JUSTSHUTTERIT@GMAIL.COM
from the Owner listed above) State or County License: 24293
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
i _
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: 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:
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.
�n consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
Iin accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
11 he 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 jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an'attorney before
commencing work or recording our Notice of Commencement.
s
Si ture of Owner/Lessee/Co ractor as t for owner ature of Contractor/License der
STATE OF FLORID4 STATE OF FLORIDA '
COUNTY OF UMIL COUNTY OF ;�l LA_ ae
The for oing instrument was qcknowledged before me The forgoing instrument was acknowledged before me
this i ay of LA-8 20 Eby this day of 4LM Lk-q 20 11 by
Il rn 1 N LChQk 4 _YYI� N LCt4D
(Name of person acknowledging) (Name of person acknowledging)
(Si nature of Notary Public-State of Florida) (SigrAtbm6f N Public-State of Florida)
Personally Known Oi� I OR Produced Identification Personally Known �N_OR Produced Identification
Type of Identification Produced Type of Identification Produced
,Commission No. o dsslo No. (Seal)
oar i� Notary Public St a of Flori a
r Parrish A Nich Is
os
of ExPires 07/20/2021 =oy0r PJ" Notary Public State of Flori
Revised 07/15/2014 Parrish A Nichols
v ti i My Commission GG 12670
ferA,o' t:xi ices
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION S
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
(INITIALS
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