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HomeMy WebLinkAboutBuilding Permit applicationALL APPLIC BLE INFOL UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I Permit Number: s Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierre FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 7705 // Legal Description: Lakes 6tS, � QX (/-tl / 1 3 k 071 Property Tax ID ##: Z� �� Lot No.�, Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: / CONSTRUCTION INFORMATION: dAdditional work to be nerformed under this permit — check all ttlat appy: [n HVAC L_J Gas Tank Gas Piping T Shutters O Windows/Doors 11 Electric EJ Plumbing Sprinklers ElGenerator 0 Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: 5 Ft. of First Floor: _ Utilities: 0Septic Building Height: OWNE /LESSEE: CONTRACTOR: Name vin I Z]I/i[s4 Name: James Snyder Address: Company: Snyder's Cooling and Heating, Inc. City: i State: EL . Zip Code: Fax: Phone No. l Le - Address: P.O. Box 2007 City: Fort Pierce State: FL Zip Code: 34954 Fax: 772-600-4811 Phone No. 772-528-3377 E -Mail: ---'-'' Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail. snyderscooling@aol.com State or County License: CAC1816579 i #26414 n vdiue ui cunsiruction or more, a Kt:LUKDED Notice of Commencement is required_ SUPPLEMENTAL CONSTRUHP LIEN LAW INFORMATION: DESIGNER/ENGINEER: � Not Applicable Name.: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated_ 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 pians, 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 t ur property. A Notice of Commencement must be recgFded and posted on the jobsite before thefir s ction. If you intend to obtain financing, consult wi en or an attorney before commend or recordinevour Notice of Commencement. re of owner/ Lessee/Contractor as Agent for Owner e of Contractor/License Holder ATE OF FLO _ TATE OF FLORIDAI I COUNTY OF U u COUNTY OF �� (i•��° -�+_ The f r oing instrument was acknowledge efore me day 2©by The f oin instr nt was acknowledge efore me g g this �ay of 20� by this of 4 0.,% Name of pers�oonking statement Name of person aking statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification lNllfl Type of Identification Produced Produced ��/ ��.� ``ai�iii4illl#Sltlfl�i A 1, c,� �SSIpN f,�'• � o�� r (Signature of Notary Public- State c FlcjA ) (Signature of Notary Public- State oglqrAi� k °> TIFF 19533 ;oma Commission No. � l�o;a9��� ' * ; elk Cammissson No.�rl 96337 � ; (S i)I95337 ;���•`��` iso o ? �d+4��p��� A;�i/s� "IML 1C. S I d#ii�le O\ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE"' I MANGROVE COUNTER REVIEVII REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. $/2/17