HomeMy WebLinkAboutJames Massi PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:SHUTTER
Address:
Permit Number:
Building Permit Application
Commercial _________ Residential xxx
Property Tax ID #: �1 ZZ
l—j
Site Plan Name: —Q�'—����� � Lot No.
Project Name: C V`- Ic�S� Block No.
INSTALLATION OF (
HURRICANE ACCORDION SHUTTERS
Haamonai work to be performed under this permit— check all that apply:
—Mechanical _ Gas Tank Gas Piping — p g Shutters
_ Electric — Plumbing _ Sprinklers
Generator
Total Sq. Ft of Construction:
�,1 2 � � Sq. Ft. of First Floor:
$ _
Cost of Construction: =L�J Utilities: — Sewer _ Septic
Name
N
Address: 1' (..Q ' r �Pr (' ir-
City: ST LUCIE
State:-L
Zip Cade: �� U Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: SAMUEL ZAZA
_ Windows/Doors
Roof Pitch
Building Height:
Company:JUST SHUTTER IT
Address:515 NW ENTERPRISE DR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax: ----
Phone No772-201-9919
E-Mail JUSTSHUTTERIT@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.
DESIGNER/ENGINEER: xxx Not Applicable
Name: _
Address:
City: State:
Zip: one
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 FO IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU NTEND TO OBTAIN FINANCING, CONSULT
WITH Y LENDER OR AN ATT9RNptKFORE RECORDING YOUR TICE OF COMMENCEMENT."
� s
as Agent for Owner
STATE OF FLORIDA
COUNTY OFSTLUCIE
STATE OF FLORIDA
COUNTY OFSTLUCIE
Holder
The forgoing instrument was acknowledged before me The forgoing instr ment was acknowledged before me
this � day ofJL4 � e t Zp( by this day of f 2b
— Y
SAMUEL ZAZA
SAMUEL ZAZA
Name of person making statement. Name of person making statement
Personal�dentiflcation
OR Produced Identification Personally Kno OR Produced Identification
Type Prod ceType of Ide ication
Produced
(Signature of Notary Public- State of Florida )
;rrru,,, ALYSSA A.T. BOWSER (Signature of Notary Public- State of Flori
y . ` ommission # GG 29593
Commission No. GG295930 or; ;q @al �AyP
Expires January 28,202 Commission No. GG 29593o z°
Bonded ThruBudget NotarySsrvi s +
REVIEWS I FRONT I ZONING
COUNTER REVIEW
RECEIVED
DATE
COMPLETED
SUPERVISOR I PLANS I VEGETATION I SEA TURTLE
REVIEW REVIEW REVIEW REVIEW
ALYSSA A.T. MA
'kea0ommission # GG 2
Expires January 28,
MANGROVE
REVIEW