HomeMy WebLinkAboutNancy Depau PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: o) 108 12011
T Permit Number:
p
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
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Address: t'�QYI�-Q�-IQYI l�P��/r
Site Plan Name: an C.0 Block No.
Project Name: __ L Gn C T� (' ( ou
INSTALLATION OF (Z )HURRICANE ACCORDION SHUTTERS
CQN�TE�I�C�fQ /�T
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: $� y �� Utilities: —Sewer —Septic Building Height:
CT R:01
Name
Name:SAMUEL ZAZA
Address: —Lost L
Company:JUST SHUTTER IT
City: ST LUCIE State: l—
Address:515 NW ENTERPRISE DR
City: PORT ST LUCIE State: FL
Zip Code: Fax:
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
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.
S�JPE'LEI�ENTAL C�N�TRl1CT101V L(EN, LA1IU 1N�ORNiAT�aN � � � ��� �
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DESIGNER/ENGINEER:
xxx Not Applicable
MORTGAGE COMPANY:
10 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 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 INTEND TO OBTAIN FINANCING, CONSULT
WITH YOO LENDER OR AN ATTOMMY BEFORE RECORDING YOUR 06TICE OF COMMENCEMENT."
Sig ure of Owner/ Lesse Contractor as Agent for Owner
Sig a re Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
The f,�going instrument wa acknowledged before me
The forgoing instrument w s.acknowledged before me
this 9 day of i 20�Nby
this�� day of 20_,�k by
SAMUEL ZAZA
SAMUEL Z42A
Name of person making statement.
Name of person making statement.
Personal nown OR Produced Identification
Personally n OR Produced Identification
Type Identification
Type of I ntification
Prod ed
Produc
(Sig to -f Notary Public- State of Florida)
(Signature o otary Public- State of FIB)) ALYSSA A.T. BOWS
PY PUg ALYSSA A.T.BOWS'E��
' �c* GG 295930
°�' P Commission;# GG'2"5
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Commission No. GG 295930 2°1X' (�yggsion#
Expires January 28, 2023
Commission No. GG 295930 * 4'-,+
�� ° Expires January 28,
Dcnd�dThruL'�'Cc-tNo'.ay�'
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9r °Q Banded ThruBadget"IotaryServi,:
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DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19