HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date � Permit Number: \C'0t'055a'
RECEIVED AUb 3 0 7016
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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: 6002 Palmetto Dr Ft Pierce FI 32982
Legal Description: INDIAN RIVER ESTATES-UNIT 06-BLK 18 LOTS 9 AND 10(MAP 34/11S)(OR 1132-1893)
Property Tax ID#: 3402-607-0096-000-5 Lot No.9&10
Site Plan Name: Chris Block No. 18
Project Name: Chris
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installation of(13)Miami Dade Approved Accordion Shutters
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit—check a ss appy:
HVAC Gas Tank ❑Gas Piping Y Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2,650.00 Utilities: Sewer 0Septic Building Height: 15'
OWNERAESSEE: CONTRACTOR:
Name Christine Cann Name: Samuel Zaza
Address:6002 Palmetto Dr Company: Just Shutter It Inc
City: Ft Pierce State:FL Address: 1608 SW Taurus Ln
Zip Code: 34982 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: iustshutterit@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 be recorded and posted on the jobsite
befor the firs inspection. If you intend to obtain financing, consult with lender or an attorney before
com ncin or recording our Notice of Commencement.
)11 nature of Owner/Age t/ essee Si ture of Contractor/License er
STATE OF FLORIDA STATE OF FLQ_RkDA.-il c
COUNTY OF COUNTY OF '"Ss
The forgoing instrument was acknowledged before me Theforgoing instrument was acknowledged before me
this day of� 20 Lr,-by this I day of 20__fi by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu ic-State of Florida) (Signature of Notary P lic-State of Florida)
Personally Known OR Pr uceildentifl Personally Known OR Produced Identifi d
Type of Identification Produced t— ENS_lea Type of Identification Produced V LtEG14P e
�,pR� �GG�Zp20 D sg}ON Dot
16. E
Commission No. Commission No' �s M[ )pec�z ��„de �
Revised 07/15/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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