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
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