HomeMy WebLinkAboutPaul Petrarca PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z Co ( Z021
Permit Number:
Planning and DevelonmPnBuilding Permit Application
r cork*__
Site Plan Name:` {)Q I � -0 V-CG Lot No.�`
Project Name: To � � P �a Block No.
a r .
INSTALLATION OF (
HURRICANE ACCORDION SHUTTERS
Huumonai work to be performed under this Permit— check all that apply:
Mechanical _ Gas Tank Gas Piping — p g Vk Shutters
— Electric — Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ _g , t 3'i
___— Windows/Doors
— Generator ____ Roof -- Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer — Septic Building Height: ��—
Name I �rQr Q
Address: 1502 M u S�iC V�1n�
City: ST LUCIE
State: �L
Zip Code: 3G� 9 (� Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: SAMUEL ZAZA
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.
Sk�PLEMEIV�AL CONSYRUCTION:LIEN LAW INFORMATION
DESIGNER/ENGINEER: xxx Not Applicable
MORTGAGE COMPANY. 10 Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
i
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
"WARNI I O OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWI FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POST D ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YO NTEND TO OBTAIN FINANCING, CONSULT
MITIYOUR LENDER OR AN A EFORE RECORDING YOUR 1,VOTICE OF COMMENCEMENT."
f�
S`iat re of Owner/ ess a/Contractor as Agent for Owner
Sign r of Contract / ' ense Holder
STAT OF FLORIDA
F
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
The Zrpinginstrurn e t a acknowled before me
thiay of � � k-N 20\by
The forgoing inst ument w s acknowled edbefore me
this N4 day ofJ k 2 by
SAMUEL ZAZA
SAMUEL ZAZA
Name of person making statement.
Name of person making statement.
PersprKally Known x _ OR Produced Identification
Personally own xxx OR Produced Identification
Ty e of ldentificati
Type of entifi tion
P uced
Produ ed
(Signature of Notary Public- State of idtf
. """,) # GG 295
�/ Signature of Notary Public- State o{{ I,,rida
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k ; : Commission
Commission No. GG 295930 ;n, ;� I Expires January 28, 2
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23 �` Co mission # GG 25;'mD
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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