HomeMy WebLinkAboutAPPLICATION ZARBAAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
ate:
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 6107 BAMBOO DR
Property Tax ID #: 3402-610-0495-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL 10 ACCORDION SHUTTERS
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5,200.00
Generator
Sq. Ft. of First Floor:
Residential X
Lot No. 35
Block No. 86
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
NameJEFFREY ZARBA
Name:THOMAS L PEASE
Address:6107 BAMBOO DR
Company: FLORIDA SHUTTERS INC
City. FORT PIERCE State: .
Zip Code: 34982 Fax:
Phone No. 772-577-1655
Address:1055 COMMERCE AVE
City: VERO BEACH State: FL
Zip Code: 32960 Fax: 772-567-3674
Phone No772-569-2200
E-Mai l:jeffzarba811@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Maildaniela@floridashuttersinc.com
State or County License CBC 015453
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
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Sio u� 6f r/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE O LORIDA
COUNTY OF S1 LUU C-
STATE OF FLORIDA.�.
COUNTY OF
Sw rn to (or affirmed) and subscribed before me of
Swor (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this day of 0�i Lr 2024 by
this 11 day of 202� by
Z,-� r
Name of person` making statement.
Name of person making statement.
L'�OR
Personally Known OR Produced Identific on
Personally Known Produced Identification
Type of Identification\ o ,
'D
Type of Identification
Produced L_ c,``gti"'ti�ti
Produced
(Signature of N Public- State of Flor' a �.��y`+a
(Signature of
r�•
Commission No. �� w� 2.�0 Spy) ����
DEBORAH EMERICK
Commission: ~� `; Notary Public - State of�5t� �)
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cr, ' My Comm. Expires Mar 20, 2024
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