HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1Soo
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Date:
Permit Number: o s` 0 So )
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division I
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: 8932 Champions Way Port St Lucie FI 34987
Legal Description: LAKES AT PGA VILLAGE(PB 43-32)BLKA LOT 48(OR 2972-997
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Property Tax ID#: 3334-501-0062-000-5 I Lot No.48
Site Plan Name: Jim I Block No. A
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Project Name: Jim
Setbacks Front Back: Right Side: Left Sider
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DETAILED DESCRIPTION OF WORK: !'
Installation of(13)Miami Dade Approved Accordion Shutters
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CONSTRUCTION INFORMATION: r �'
Additional work to be nartormed under this permit—check all appy:
HVAC Gas Tank E]Gas Piping �_Shutters Q Windows/Doors
0 Electric Plumbing Sprinklers Generator I Roof
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Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 2,000.00 Utilities:�Sewer Septic I Building Height: 15,
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OWNER/LESSEE: CONTRACTOR 1 �.
NameJamesMeno Name: Samuel2aza
Address:8932 Champions Way Company: Just Shutter It Inc
City: Port St Lucie State:FL Address: 1608 SW Taurus Ln
Zip Code: 34987 Fax: City: Port St Lucie I 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: 2.4293
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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 resultiin 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
commenqing work orfecording your Notice of Commencement.
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Sig ure of Owner/Agent/Lessee Signature f Co ractor/License H r
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STATE OF FLORID E OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisday of Y�t�ttLa 20 by this( 1�day of 20� by
SL sa'�r�tL
(Name of person acknowledge g) q (Name of person acknowledging
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4igR�atureof Notary Pu lic-State of Florida) \ ignature of Notary Publit-State of Florida)
Personally Known OR Produced Identification� Personally Known ORiProduced Identification
Type of Identification Produced Type of Identification Produced
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Commission No. ���� eu
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G�IA INGRAM Commission No. LASH All GRAM >
blic-State of Florida. :_*. r.�� Notary Public-State of Florida0 2018 . M ssion#FF 177249Commission#:FF 177249
iRevised 07/15/ . oFF` Bonded through National NotaryAssn:
��47:.o�`ough National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW'
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