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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:.03 11812021 Permit Number: Planning and Development Services Building Permit Application 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 'ROPQ �rYXI Address: Zd Property Tax ID#: 2/AZ(9 - F,)-go - pCl ` - Lot No. Z d Site Plan Name: _- r, of cN &wokkiS Block No. 1 # 2 Project Name: Qr-n ay-cM 0111-00010_01�M�_W'N' { INSTALLATION OF( ) HURRICANE ACCORDION SHUTTERS E- OsTRUCTI(�N IIRs T ti :- I Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping �Shutters _Windows/Doors T Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ $5 2 Utilities: —Sewer —Septic Building Height: C EE3 CONTRACTOR: Name a\-bat-0 GNC* Name:SAMUEL ZAZA Address: 20 Company:JUST SHUTTER IT City: ST LUCIE State: (— Address:515 NW ENTERPRISE DR Zip Code: 3qq Z Fax: City: PORT ST LUCIE State:FL Phone No. Zip Code: 34986 Fax: E-Mail: Phone N0772-201-9919 Fill in fee simple Title Holder on next page ( if different E-MailJUSTSHUTTERIT@GMAIL.COM from the Owner listed above) 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. <S.URPLE(�I�i�TAI.C{7NSTRUCTtQN 1�EN L.A1N tl�F©RMATION � � � f , / _Not Applicable MORTGAGE COMPANY: �O Not Applicable Name: Name: Address: Address: City: State: City: Zip: Phone State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not 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. 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU 1 TEND TO OBTAIN FINANCING, CONSULT WITH YOUR NDER OR AN ATTORNEY BEFORE RECORDING YOUR N ICE OF COMMENCEMENT." Sig ure of Owner/Lessee/Con ractor as Agent for Owner St ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFSTLUCIE COUNTY OFSTLUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of�rA} Y 1 20�� by this�day of Ct Y C1� 20� by SAMUELZAZA SAMUELZAZA Name of person making statement. Name of person making statement. Personall nown xxx OR Produced Identification 4ypeent xxx OR Produced Identification Type of dentification Produ d ificati0 ( tgnature o otary Public-State,af nda LYSSA A.T.BOWSERA f Notary Public-State of Florida } 6 Commission#GG 295930 Commission No. GG 295930 ,.'C:',! 3 Q Sell fires January28,2023 10y PQ9e ALYSSA A.T.BOWSER of Commission No. GG r� o 6(,$� Thru Bcdret Rotary Sereicos * * �,O��I,�SIOn#GG 295930 ,P oR Expires January 28,2023 2` ud et NotaryServlces F REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.