HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '1 ` `�� 1� Permit Number:
• RECEIVED JUL 12 1036
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: 8251 Mulligan CIR#3412 Port St Lucie FI 34986
Legal Description: CASTLE PINES CONDOMINIUM(OR 1571-492)PHASE IV UNIT 3412(OR 3779-2751;3842-2485
Property Tax ID#: 3327-502-0130-000-4 Lot No.
Site Plan Name: Marc Block No.
Project Name: Marc
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION-OF WORK:
Installation of(7)Miami Dade Approved Accordion Shutters
CONSTRUCTION INFORMATION:
Additionalworkto e e orme under this permit—check all that appy:
HVAC Gas Tank ®Gas Piping Shutters ❑Windows/Doors
0_Electric Plumbing Sprinklers Generator F] Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3900.00 Utilities:Sewer 0Septic Building Height: 15,
OWNER/LESSEE: CONTRACTOR:
Name Marc Henson Name: SamuelZeza
Address:8251 Mulligan CIR#3412 Company: Just Shutter It Inc
City: Port St Lucie State:FL Address: 1608 SW Taurus Ln
Zip Code: 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 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
i
which is n 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
comm cin war A Qr-+worcling your Notice of Commencement.4
Sigry6ture of Owner/Agent/5We A
Signa re o ontractor/License Holdlzr�
ITATE OF FLORA =ATE OF FLORI A
COUNTY OF '5)r. L �jc 07,' COUNTYOF1-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this A'c).day of 20 1E by this day of 20
by
C\
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary PuNc-State of Florida �(Signatu�reof Notary P 'blic-State of Florida
Personally Known OR Produce defft, Personally KnoWM-N---c-di"""-'bA^'Proc�j i1fication
Type of Identificatio -A. I N N%tolm fjofM' ced4doh Jorica—
i n P:g0dvceFd OR-1-601fates cq�6A&-.1J.)-JState o'F
01 Type of Identi t -
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N, Commission No, -nmisslor)
Commission No. EE B5B
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Revised 07/15 201
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