HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S 1 eo\ \� Permit Number:
t . - #~_zl R E C E R'.7-D MAY 0 8 7015
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: 9087 Short Chip Cir Port St Lucie FI 34987
Legal Description: LAKES AT PGA VILLAGE(PB 43-32)BLK D LOT 21(OR 3060-2783;3567-671)
9087 Short Chip Cir Port St Lucie FI 34987
Property Tax ID##: 3334-501-0159-000-2 Lot No.21
Site Plan Name: Auer Block No. °
Project Name: Aura
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installation of(#PNHITE Miami Dade Approved Accordion Shutters
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC 1,Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
0 Electric El Plumbing Sprinklers ElGenerator Roof
Total Sq. Ft of Construction: Sci. Ft. of First Floor:
Cost of Construction:$ 6,500.00 Utilities: Sewer Septic Building Height: 15.
OWNER/LESSEE: CONTRACTOR:
NameAlbert Auer Name: Samuelzaza
Address:9087 Short Chip Cir Company: Just Shutter It Inc
City: Port St Lucie State:FL Address: 1608 SW Taurus Ln
Zip Code: 34987 Fax: City: Port St Lucie State:FL
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: justshutterit@gmail.com
from the Owner listed above) State or County License: �� C�
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: ALL°
Address: Address: m
City: State: City:- State, Go
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 thq first inspection. If you intend to obtain financing, consu with lender or an attorney before
commencing work r recorola&your Notice of Commencement.
ature of Owner/Agent/Lessee ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5 3r. COUNTY OF j kL l-1,
The forgoing instrument was acknowledged before me Thefor oing instrument was acknowledged before me
this Com.,day o^o.•V , 20 146 by this foeday of Vr gV ,20_*by
54 Jif Z q'Z-q S O. .rn e,J \ -.a►2 S'
(Name of person acknowledging) (Name of person acknowledging)
c
(Signature of Notary Public- tate of Flori NPGX F\00 6' (Signature of Notary P blic-State of Florida)
�. •. �EFN S�a�e �6,2�,
Personally Known ced rPti`� �dnGec 816 personally Known OR ProducedI€�T a
Type of Identification Pfi uG t P�a�, . N # any p s i`�pe of Identification Produced
Go Li
r r ' C\otacy P°b�y •Vps�e a58�61
Commission No. �..^ �. ���dlj��� °' Commission No. L�,St e�y�0mQ�5d#En`N°nary PssA
SS
Revised 07/15/2014 E
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