HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
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 xxxx
PERMIT APPLICATION FOR: SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 9339 World.Cup WAY Port St Lucie FI 34987
Legal Description: POD 20A AT THE RESERVE PUD II CASTLE PINES LOT 58(MAP 33/27S)(OR 3537-1809)
9339 World Cup WAY Port St Lucie FI 34987
Property Tax ID#: 3327-801-0066-000-2 Lot No.58
Site Plan Name: Alen Block No.
Project Name: Alen
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF(6)ACCORDION SHUTTERS
CONSTRUCTION INFORMATION:
Additional work toe nartormed under this permit—check all that appy:
HVAC 0 Gas Tank ❑Gas Piping IZW_Shutters Q Windows/Doors
11 Electric ElPlumbing Sprinklers E Generator F-1 Roof Roof pitch
Total Sq.Ft of Construction: S Ft.of First Floor:
J
Cost of Construction:$ 3500.00 Utilities: _Sewer F]Septic Building Height;�'� �o
OWNER/LESSEE: CONTRACTOR:
Name Alan Schmalacker 1M �_ Name: SAMUELZAZA
Address:9339 World Cup WAY 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: Phone: I Zip: Phone:
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, cons t with lender or,an attorney before
commobcing wok or recokiding your Notice of Commencement.
s
i ture of Owner/Lessee/Cor tr ctor as Age for Owner Sigliature of Contractor/License Ho /
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 by this day of ,20 by
SAMUEL ZAiA Si�1'1� (✓�fi L— �Z I4
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS