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HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: (�) L?, 2�Z1 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE:SHUTTER Permit Number: Building Permit Application Commercial Residential xxx Address: 'Al ") L Property Tax ID #: 39lq " 5yO - dZ 8(9 - VW -Z Lot No. I _l Site Plan Name: Pn(Vtc\ I-). La"� cc Block No. Project Name: prVl( rta - Lq-\-- -G INSTALLATION OF ( 3) HURRICANE ACCORDION SHUTTERS CONS TRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: _Mechanical _ Gas Tank _ Gas Piping A Shutters _ Electric _ Plumbing — Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 11 _ Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: —Sewer —Septic Building Height: MV11NEftOESS : CONTCTOR: Name ill C �_ L-Ca'�S� Name:SAMUEL ZAZA Address: _` L-I� �E, T Company:JUST SHUTTER IT City: ST LUCIE State: lr Zip Code: Fax: Phone No. Address:515 NW ENTERPRISE DR City: PORT ST LUCIE State: FL Zip Code: 34986 Fax: -- Phone N0772-201-9919 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 - .1 bv..J..uL wig ,7c.wu yr nwre, a Rewnuru notice or commencement is requirea. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. - ( l �J• ��4'4y����1"l l.aC���T����d� ���� �� ��9 ���F�.���� h { 3'9 7 y, 9- « �� ���� DESIGNER ENGINEER. xxx� �' '�" � Applicable _Not MORTGAGE COMPANY. Name: Not cable/ Appli Address: Name: Address: City: State: Zip: Phone State: Zip Phone: FEE SIMPLE TITLE HOLDER: Not Applicable ONDING COMPANY: Not Applicable Name: ame: Address: [Address: City: ty: 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 POSTED AND ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ignature of Owner/ Lessee ontractor as Agent for Owner Sigh ture of ContractorJLicens older STATE OF FLORIDA STATE OF FLORIDA COUNTY OFSTLUCIE COUNTY OFSTLUCIE The forgoing instrument was acknowledged before me The forgoing instrument I as acknowledged before me this ��day of -LC1ir 20 by V� c'-` this�dayof 20 Dtby SAMUEL ZAZA SAMUEL Z_AZA Name of person making statement. Name of person making statement. Personally xxx OR Produced Identification Personally Known xxx OR Produced Identification Type of entificati n Produ d Type of Identification Produced (Signature of Notary Public- State of Florida) (Signature of Notary Publ - a e o -Fr ) ,rida �o�aR °G� ALYSSA A.T. BOWSER Commission No. GG2ses3o lPRYpU6 Sep SSA A.T.BOWSER GG2sss30 Co mission# GG 295930 --T.•^.,�% ( � Commission No. * Commission # GG 295930 N� January 28, 2023 * o4�SeE�c�ires g�FOF N Ex ires Januar 28 2023 01 Bonded Thru Budget Notary Services IFOFF pP REVIEWS FRONT Be ZONING ThruBudgetNotaryServices SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.