HomeMy WebLinkAboutBuilding Permit Application ,(PLETED FOR APPLICATION TO BE ACCEPTED —
Permit Number: �(® 1
Building Permit Application
nt'Services
alation Division
Fort Pierce A 34982
Phu, .-1553 Fax: (772)462-1578 Commercial Residential
PERMIT AN,JLICATION FOR: SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 9216 Short Chip CIR Port St Lucie A 34987
Legal Description: LAKES AT PGA VILLAGE(PB 43-32) BLK D LOT 74(OR 3388-2880)
9216 Short Chip CIR Port St Lucie FI 34987
Property Tax ID#: 3334-501-0212-000-2 Lot No.74
Site Plan Name: Margarette Lee Block Na. D
Project Name: Margarette Lee
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF(9)ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:
Additional work toa er orme under this permit—check a appy:
HVAC E]Gas Tank []Gas Piping Shutters Q Windows/Doors
LJ Electric ElPlumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 8,800.00 Utilities:Sewer Septic Building Height: 15'
OWNER/LESSEE: CONTRACTOR:
Name Margarette Lee Name: SAMUEL ZAZA
Address:9216 SHORT CHIP CIRCLE Company: JUST SHUTTER IT INC.
City: PORT ST LUCIE State:FL Address: 1029 SW S. MACEDO BV
Zip Code: 34987 Fax: City: PORT ST LUCIE State:FL
Phone No. 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: XX Not Applicable MORTGAGE COMPANY: XX Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Rhone: Zip: Rhone:
FEE SIMPLE TITLE HOLDER: XX Not Applicable BONDING COMPANY: XX 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comrrlencing Vvork or recording our Notice of Commencement.
s
nature of Owner/Lessee/Co `ractor as A nt for Owner Si ture of Contractor/License HbIMr
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. LUCIE COUNTY OF
The for oing instrur@eA was acknowledgedpefore me The forgoing instrument was acknowledged before me
this day of I 20 1 k0by this i0day of �'°ZV ____20 by
SAMUEL ZAiA A •, 0A L Z 6Z.
(Name of person acknowledging) (Name of person acknowl ing)
p4 .
AN
ai t,r"ego ry Public-State of Florida) S•gnature-of ota y P Ifi FIoL+ °bt%c St Y�
My mission#ff73q�° da
Personally K o n R ro uc d Identification . Personally Known COQ i#Wa 30
Type of Ide (?ro uce 3 duced °°9hNaao
Notary Public-State of Florida YAssn. .
Commission : * •Ee fission# 730 Commission No. (Seal)
OF..;°po�� My Comm.Expires May 27,2019
,1111
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
CQUNTER REVIEW REWEW REVtE_W.. REVIEW 9F-V1,E-W REVIEW
DATE
COMPLETE
INITIALS