HomeMy WebLinkAboutJoseph Butcher PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 031 Zq I Z®Z\ 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: --I U LV4 \`-
Property Tax ID #: 33 2 - -1 Oa - 00tll 000 - 1 Lot No. n_
Site Plan Name
Project Name:
INSTALLATION OF (I"L) HURRICANE ACCORDION SHUTTERS
C-ONSTRUCTION NFORI IAI�IFIONa
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank I_ Gas Piping -AShutters _ Windows/Doors
_ Electric _ Plumbing ! Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ �6, 000
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
LV1/NERjLESSEE:
CONTR,CTo --
Name
Name: SAMUEL ZAZA
Address: %Ll LA cDreexnnr\ex' Cam-
Company:JUST SHUTTER IT
City: ST LUCIE State: FL_
Zip Code: 311q (9 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
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.
SUPFLE�1/IENTAL C�3NSTR�UCTION LfEN LAW iN�Q�tit�lAT[Q�V
DESIGNER/ENGINEER: xxx Not Applicable
MORTGAGE COMPANY: 0 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:
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 to another non-residential use
"WARNING TO OWNE :YOUR FAILURE TO RECORD A NOTICE OF COMM ENT MAY RESULT IN YOUR PAYING
TWICE FOR IM OYEMENTS TO YOUR PROPERTY. A NOTICE OF ENCEMENT MUST BE RECORDED AND
TEND TO OBTAIN FINANCING, CONSULT
POSTED ON E JOB SITE BEFORE THE FIRST INSPECTION. IF Y"OTICE
WITH YOU ENDER OR AN ATTORNEY EFORE RECORDING YOU OF COMMENCEMENT "
Signat of Owner/ Les /Contractor as Agent for Owner
'Pare of Contract r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
The forgoing ins t, ras acknowled ed before me
this' day of ` 2 by
The forgoing inst�gtm nt was acknowledged before me
this ' 0*'\ day of `?� `� J 20C-NA by
SAMUELZAZA
SAMUELZAZA
Name of aking statement.
Name of person making statement.
Pers nally Known x OR Produced Identification
Personal[ xxx OR Produced Identification
Ty e of Identification
Type Identificatio
Pr d ced
Pr duced
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Commission No. cC zsssso JSe��pires January 28, 2023
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Commission No, cc zssssoExpires January 28,20
FOF F�°� Bonded Thru Budget Notary
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