HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Ong Date: Permit Number:
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: 9030 Pumpkin RDG Port St Lucie FI 34986
Legal Description: MAIDSTONE(PB 43-11)LOT 141 (OR 3658-1569;3705-2913
Property Tax ID#: 3322-505-0150-000-4 Lot No.144
Site Plan Name: Ron Block No.
Project Name: Ron
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installation of(9)Miami Dade Approved Accordion Shutters
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit—check a appy:
HVAC 0 Gas Tank ❑Gas Piping � ,Shutters E,Gas
11 Electric F] Plumbing Sprinklers 11 Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 4275.00 Utilities:llSewer Septic Building Height: 15'
OWNER/LESSEE: CONTRACTOR:
Name Ronald H Conwell Name: Samuel Zaza
Address: 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.772-201-9919 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 to your property. A Notice of Commencement must be recorded and posted on the jobsite
before 4e first inspection. If you intend to obtain financing, consult with lender or an attorney before
commeQlcing w rk or Lglcorcling your Notice of Commencement.
Sign ure of Owner/Agent/L s Si;ATE
a of Contractor/License Holde
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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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RECEIVED
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