HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ` q
Date: Permit Number:
• R RECEIVIED JUL 12 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:
Address: 7421 Bob O'Link Way Port St Lucie FI 34986
Legal Description: MAIDSTONE(PB 43-11)LOT 24(OR 2526-1077)
Property Tax ID#: 3322-505-0033-000-8 Lot No.24
Site Plan Name: Eugene Block No.
Project Name: Eugene
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installation of(19)Miami Dade Approved Accordion Shutters
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping �_Shutters ❑Windows/Doors
13 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 6,800.00 Utilities:llSewer Septic Building Height: 15,
OWNERAESSEE: CONTRACTOR: =
Name Eugene Antuna Name' SamuelZaza
Address:7421 Bob O'Link Way Company: Just Shutter It Inc
City: Port St Lucie State:FL Address: 1608 SW Taurus Ln
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No.772-201-8919 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: 24293
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 b recorded and posted on the jobsite
before the first in pection. If you intend to obtain financing, consul ith lender or an attorney before
commencing worfic or re ding your Notice of Commencement.
Si ture of Owner/Agent/1_1691 Signa re of Contractor License Holder
STATE OF FLORIDA STATE OF FLORIDA f
COUNTY OF S -e COUNTY OF
The forgoing instru eryt yra cknowledge efyre me The fofgoing instrumegt yyas knowledge#before me
this da of W/ 20 b this day of �'[ 20 by
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(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu c-State of Florida (Signature of Notary P lic-State of Florida
F\ocldasNA GIVEN Flo[ida
Personally Known OR>Rr uc7t e tift`fiB 20�k Personally Known , _..,, Produce ifi arf oti6 .
Type of IdentificatiorTRrodu ed lesGeo��6� 1�, Type of IdentificatioriSProdlj"' cel ices Dec l
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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