Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutJayne Hedrick PermitAll APPLICABLE INFO BE COMPLETED FOR APPLICATION TO BE ACCEPTED
tMUST
Date: Q�"\ I Q�9 2Q-L\ Permit Number:
1
. .� 141I11f
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 TYPE: SHUTTER
PRfl�O�E,© TfP�0�1�1=T
Address: \1 _ I �C�C1C� rrc LN 61 12I L
Property Tax ID #: 392 --IL-5 LI - QM' 7 Lot No.km
Site Plan Name: Block No.
Project Name: �Azd6c
INSTALLATION OF ( \ ) HURRICANE ACCORDION SHUTTERS
r
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping -AShutters _ Windows/Doors
T Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic Building Height:
�.
g.
_
NTRACT
Name J�� C-\rC
Name:SAMUEL ZAZA
Address: 0 Z I "Pb'CVC\berrQ N\
Company:JUST SHUTTER IT
City: ST LUCIE _ State: l-
Address:515 NW ENTERPRISE DR
City: PORT ST LUCIE State: FL
Zip Code: 31An Fax:
Phone No.
Zip Code: 34986 Fax:
E-Mail:
Phone No772-201-9919
Fill in fee simple Title Holder on next page ( if different
E-MailJUSTSHUTTERIT@GMAIL.COM
State or County License24293
from the Owner listed above)
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.
Name:
Address: --
city:
Zip:
FEE S61VIPLE TiTLE i
Dame:
Address:
City:
Zip,
of Applit b ___
State:
;P: Not Applicable
t®
MORTGAGE COMPANY'
of Applicable
Name:
Address:
State:
City: Phone:
Zip:
soNDING COMPANY:
ot Applicable
name:
Address:
city:
I Zip.
i certify that no work or installation has commenced prior
iape the
ill authorize of a rmitthe ermit holder to build the subject structure
lientacal Home Owners a p rmi rules, b laws or an p covenants that may restrict a prohibit such
St. Lucie County makes no representation that is granting ,dhich may
which is in conflict with any,, app
ns w
structure. Please consult with your Home owners As and � V}w tf�ade w llo n all respectsr any ,, perform he work Y
to consideration of the granting Of this requested permit, I do he Yagree
In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
s walls, signs, screen rooms and accessory uses to another non-residential use
The following building permit applications are exempt from undergoing a full concurrency review: room additions, , e far
accessory structures, swimming pools, fensng
WARNING T OVdNEIR'': Your faa4ure to Record ComrnencNotice ofemenmt mustment May a recorded and poasttted o the jorney oesite
improvem Is to you property. A Notice
before t first inspection. {, you i tend toe of Commencer�rn} ent su with lender or an
comme cing work or',recording V
STATE OF FLO
COUNTY ®F_
The forgoing
this IC
ctor as Agent for Owner
acknowled d\ byre me
State of Florida
re of contractor
s
STATE OF Fq.ORI®A C - e�
COUN'Y ®F� \�� ---
The forgoing instr. ent � r � acknowledged ebefore me
this � day of -
Personally Known_ OR Produced idt1)
i
Type of identification Produced 2��
l� (BOWSERCommission No. �_y ru , GG 29 3(i
Revised 07/15l2014
REVIEWS FRONT
COUNT'
DATE
COMPLETE
INITIALS
OF
ZONING
REVIEW
Expires jamiary 28, 2026
Bonded Thru Budget Notary Services
k 7aZc,--
(Signature o ary)Public- State of Florida )
Personally Knowni OR Produced Identification
Type of,identification Produced
Seal
Commission ALYSSA A,T, BOWSER
SUPERVISOR � PLANI
REVIEW REVIEW
N�aae Expires January 28, 2023
or-Fu�� BondadThruBudgetNotaryServicas
VEGETATION { S R T R TLE MANGREVROVE
REVIEW