HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:�12,_0
IK-sn 11YA RECEIVED
Building Permit Application DEC 2 7 2016
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
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: 9636 Enclave CIR Port St Lucie Fl 34987
Legal Description: ENCLAVE AT THE RESERVE LOT 10(OR 3733-1391)
9636 Enclave CIR Port St Lucie FI 34987
Property Tax ID#: 3322-800-0013-000-8 Lot No.10
Site Plan Name: Terry Block No.
Project Name: Terry
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
INSTALLATION OFXACCORDION SHUTTERS
0.3
CONSTRUCTION INFORMATION:
Additional work tobe nerformed under this permit—check all thd apply:
HVAC 11 Gas Tank FiGas Piping Shutters F]Windows/Doors
Electric F]Plumbing Flprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 16,500.00 Utilities:0 Sewer 0 Septic Building Height- 15'
OWNERAESSEE: CONTRACTOR:
Name Terry Macdow Name: SAMUEL ZAZA
Address:9636 Enclave CIR 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: 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, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
�SignatyKe df-6mh1'erYLessee/Contra cto)as Agent ner re of Coactor/License
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF, ST.LUCIE COUNTY OF_. A, (, Vt-C -9,
ThePooing instpgent was acknowledgelpefore me The forgoing instrument was acknowledgeAbefore me
I Df C
this day day of V& 20 LA—by this 20 IV by
_0T__
SAMUEL ZA.*A — 5 AV/'/L K r,e— 7i rtz' Y4
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu ic-State of Florida) (Signature of Notary Publil-State of Florida
Personally Know_\'__'-�
4 OR Produced Identification Personally Known k` OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No. ?_z� _ SAY (Seal) Commission No. /70r (Seal)
MD*LL FFEDERICKS ..••':tt. "LL FREDERIM
MY COMMISSION IFF90MA UVMAiAJf6._
EXPIRES:August 2,2019 W - -011—It"I rr 9ZQF_
EXPIRES:Augusl2,2019
Revised 07/15/2014 N7W
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS