HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /-
Date: «� Permit Number: /(� 0-?- I-)2gz
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RECIV
Building Permit Application FEB 1 & 1010
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: 1031 Bradly St.
Legal Description: INDIAN RIVER ESTATES-UNIT 07-BLK 48 LOT 24(MAP 34/02S)(OR 3624-2233)
Property Tax ID#: 3402-608-0280-000-5 Lot No.24
Site Plan Name: Clement Pelletier Block No. 46
Project Name: Clement Pelletier
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installation of(7)Miami Dade Approved Accordion Shutters
CONSTRUCTION-INFORMATION: -
Additional work to be nertormed under this permit—check all tha appy:
HVAC Gas Tank ❑Gas Piping Z Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers F Generator a Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2,000.00 Utilities:Sewer Septic Building Height: 15'
OWNER/LESSEE: CONTRACTOR:
N am e Clement Pelletier Name: SamuelZaza
Address:1031 Bradley St Company: Just Shutter It Inc
City: Fort Pierce, State:flFI Address: 1608 SW Taurus Ln
Zip Code: 34982 Fax: City: Port St Lucie State:flFl
Phone NO.305-393-2394 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-201-9919
Fill in fee simple Title Holder on next page(if different E-Mail: justshutterit@gmall.com
from the Owner listed above) State or County License:
If value of construction is$2500 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:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comrgencing WArk or recording our Notice of Commencement.
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Si atu a of Owner/Agent/ s ee igna re of Contracto License H I r
TATE OF FLORI stili TATE OF FLORIDA �U
COUNTY OF a-Wy-y OUNTY OF
The forgoing instru t was acknowledged ore me 0". he forgoing instrum nt was acknowledged b fore €2�
this day of 20 JA by Q�� is day of 20 y =� 2
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me of person acknowledging) =o ame of person acknowledging)
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( ignature of N t ry Public-State of Flori ) (Signature of Not Public-State of Florida)
Personally Known R P duged Iderltification Personally Known OR u d Identification
Type of Identification Produce �— Type of Identification Produced C_
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED