HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Kerala
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: 9066 Pumpkin Ridge Rd Port St Lucie FI 34986
Legal Description: MAIDSTONE(P8 43-11)LOT 150(OR 2534618)
Property Tax ID#: 3322-505-0159-000-7 Lot No.150
Site Plan Name: Deb Block No.
Project Name: Deb
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installation of(3)Miami Dade Approved Accordion Shutters
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—,heck all appy:
HVAC Gas Tank E]Gas Piping Shutters ❑Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1,700.00 Utilities:0 Sewer Septic Building Height: 15'
OWNER/LESSEE: CONTRACTOR:
Name Debra Flax Name: Samuel Zaza
Address:9066 Pumpkin Ridge Rd Company: Just Shutter It Inc
City: Port St Lucie State:FLAddress: 1606 sw Taurus Ln
Zip Code: 34986 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: 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
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 toy ur property. A Notice of Commencement must be recorded and posted on the jobsite
before I he first ins ection. If you intend to obtain financing, consult with leer or an attorney before
comm cing workfor recording our Notice of Commencement
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Sign ure of Owner/ gent/Lessee Si ature of Contractor/License Hol e
ATE OF FLORIDA :` Lu
STATE OF FLORIDA
COUNTY OF �� C.1�_ COUNTY OF S:�: L �-
The fo oing instru nt was acknowledged fore me The f oIng instru ent was acknowledged before me
this day of C_ 20 y this ' day of 2014 by
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Revised 07/15/2014
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