HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMP ETED FOR APPLICATION TO BE ACCEPTED ^
Date: 7-1-2015 _ Permit Number: L o I
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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 xx
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 7602 Greenbrier circle(PGA Village)
Legal Description: POD 19 PDU II Greenbrier PB 41-5 LOT 73
7602 Greenbrier circle(PGA Village)Port St. Lucie FI 34986
Property Tax ID#: 3322-700-0078-000-4 Lot No.73
Site Plan Name: Ron Mason Block No. 41-5
Project Name: Ron Mason
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
installation of(16)Accordion Shutters 2014 FBC FL 16893
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—c ec a appy:
HVAC0 Gas Tank ❑Gas Piping V/ Shutters Q Windows/Doors
0Electric 0 Plumbing Sprinklers E Generator FIRoof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 10,408.00 Utilities:Sewer El Septic Building Height: 15'
OWNER/LESSEE: CONTRACTOR:
Name Ronald Mason Name: Samuel Zaza
Address:7602 Greenbrier circle Company: Just Shutter It Inc
City: Port St. Lucie State:Fl Address: 1341 SW.S. Macedo By
Zip Code: 34986 Fax: City: Port St Lucie State:FI
Phone No.772.489.0288 Zip Code: 34983 Fax:
E-Mail: Phone No. 772.201.9919
Fill in fee simple Title Holder on next page(if different E-Mail: justshutterit@gmail.com
from the Owner listed above) State or County License: 24293
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN'ER/ENGINEER: XX Not Applicable MORTGAGE COMPANY: X«Not Applicable
Name: - Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: ra Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 thepermit 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 O OWNER: our failure to Record a Notice of Commencement may resul n y aying twice for
improvem nts to your r �dli ���ern
Notice of Commencement must be ecorded d poste on the jobsite
before th.6 first inspe ion. it
to obtain financing,consult h lende or an att ey before
comme i rk ecocement.
ature of Owner/ ent/Lesse Signatu of t ac Li nse Hold
STATE OF FLORI STATE OF FLORI
COUNTY OF COUNTY OF
The f oing Inst ent vas acknowledged before me The fioygoing in t me was acknowledged before me
this day of / 2Q by this ( day of tC. 20� by
Smonm 1�LI&— J
(Name of person acknowledgi g) '(Name of person acknowledging)
ignature of otary Public-State of Florida) (Signature of Notary Public-State of F%ida)
Personally Kno rt•'t1'y .OR Prod NdbIrtitcation " Personally Known OR Produced Identification
Type of Identi i tin i"tc6tPtary Public-State o Type of Identification;-Produced
Y omm x0es Mar z2 2A17. hRM {�,
Commission No. (SQIY , Commission No
4f 611;1 state Of r
511
�y Pub c M' ONE Alud,
t o rpti4a`' ®ffifllfB6l�ry Mar 22 2017
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Revised 07/15/2014 '�°; ;�'• ° m.FX are o'i °' �.x. f32� 77
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REVIEWS FRONT ZONING SUPERVr0u9hNa�0gaf 8>>s 17 VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
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