HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED eg-033 aV
Date: Permit Number:
RECEIVED
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IIIIIIIIIIIIIIIII0 Building Permit Application FEB t 7 2016
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1S53 Fax: (772)462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Shutter
0 LOCATION
'PROPOSED-ImP-"�R" VEME-'Nt" '
Address: 8285RedoedarPL
Legal Description- LAKE LUCIE ESTATES PLAT NO.ONE LOT 70(OR 3474-1043:3657-661)
Property Tax I D#: 3426-703-0084-000-7 Lot No.70
Site Plan Name: Jim Block No.
Project Name: Jim
Setbacks Front Back: Right Side: Left Side:
7
6Et4ItED DESCRIPTION--
F'WORK:
Z2J
CONSTRUCTIONAN FORM
,,ATION:_
A,
Additional worK to be ertormed under this permit—check -all that apply:
OHVAC f]Gas Tank FIGas Piping 17]Shutters Windows/Doors
11 Electric FlPlumbing E]Sprinklers FI Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 5,000.00 Utilities:11 Sewer Septic Building Height: 15,
OWNER/LESSEE:: -. - 'J"coNTRACT0R-
Name'G�� '3%A1Vn-C S A Alti.5 Name: Samuel Zaza
Address:8285 RED CEDAR PLCompany: Just Shutter It Inc
City: Port St Lucie State:F1 Address: 1608 SW Taurus Ln
Zip Code: 34985 Fax: City: Port St Lucie State:F1
Phone No.772-201-9919 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-201-9919
Fill in fee simple Title Holder on next page if different E-Mail: justshuttedt@gmail.com
from the Owner listed above) State=_C-OUfttT-
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 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 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
commencing work or recording our Notice of Commencement.
Si ature of Owner/Agent/Less a Sign u f Contr ctor/Licens older
ATE OF FLORI
STATE OF FLORIDA = `
COUNTY OF COUNTY OF
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The far ing instr ent was acknowledged before The forgoing instru nt was acknowledged before
1w Z this J r day of 20 by a y
this�day of 20 � ► by r F x Q�
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ame of person acknowledging) ame of person acknowledging) MUJ a
of Nat Public-State of Florida)
{Signature of Votary Public-State of rida) (Signature.
Personally Known OR r c d Identification Personally Known OR P-1 ed Ide tification
Type of Identification Produced •�� ._ Type of identification Produced �—
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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