HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
'(r Permit Number: 'A6ora-V
Date:"1 aa``�
f-�_. -- -, - RECEIVED JUN 2
• - 2016
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:
3
Address:
Legal Description: POD 27 AT THE RESERVE MUIRFIELD R PLAT LOT 39(OR 3633-1399)
Property Tax ID#: 3328-802-0042-000-4 Lot No.39
Site Plan Name: Adam Block No.
Project Name: Adam
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installation of(11)Miami Dade Approved Accordion Shutters
CONSTRUCTION INFORMATION:
Additional wor toe nertormed under this permit-check a11 appy:
HVAC 0 Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric Plumbing Sprinklers 0 Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 8,500.00 Utilities:llSewer Septic Building Height: 15'
OWNERAESSEE: CONTRACTOR:
Name Adam Wnuk Name: Samuel Zaza
Address:8332 Muirfield 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 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: lustshutterit@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 INFQRMATION:
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
befores a first inspection. If you intend to obtain financing, consult with lender or an attorney before
comme an wor or din our Notice of Commencemen
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Sigrtature of Owne Agent/Lessee Sig ture of Contractor/License
r/License Ider
ATE OF FLORIDA STATE OF FLCII A
COUNTY OF 5 V . L N c 1� COUNTY OF �- .
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 01 day ofy vl ' 20 1�by thisa�day of u�� 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary P lic-State of Florida) (Signature�&Not�ary �����Public-State of Florida)
Personally Known OR Pro ced den if' eti p'� Personally Known OR Produced Identification
Type of Identification Produced L- GIVEN Type of Identification Produced
Commission No. °tai(�eat\�p�cesGe g5916� Commission No. n(S'e NNpG1VENS
N EE Assn• U� °f Florida
�ss�o�# at�otat l�„ c• . public State �6,2016
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Revised 07/15/201 G0 oaghNationa
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