HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6jam } O Permit Number:
4; <. j '
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) 462-2578 Commercial Residential
PERMIT APPLICATION FOR: Pr� G CAA
PROPOSED IMPROVEMENT LOCATION:
Address: 24611 j ckoaln 4 +Ck- \3 'E -
Legal Description:
Property Tax ID :,2I % f C)A LA Lo - ��Q� S
Site Plan Name: .
- U, 1kQ L �-P- E
I ex c
Project Name:
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK:
L -1)4 --
CONSTRUCTION INFORMATION:
Additional wor to e e orme un er t gs permit— c ec a app Y
ZHVAC Gas Tank F]Gas Piping C
Shutters
❑Electric Plumbing OSprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ �U ;kd '
i OWNER/LESSEE:
Sq. Ft. of First Floor:
utilities Sewer 0 Septic
Name 1
Address: "— 1
City: C5Y iL -C-- State:
Zip Code: Lo Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
LP
Lot No. b
Block No.
Windows/Doors
Roof = Roof pitch
Building Height;
Name: James Snyder
Company: Snyder's Cooling and Heating, Inc.
AAAra«. P_o. sox 2007
City: Fort Pierce State: FL
Zip Code:
34954 Fax; 772-6001-4811
Phone No. 772-528-3377
E -Mail: snyderscooling@aoLcom
State or Bounty License: CAC18165791 #26414
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI
DESIGNER/ENGINEER:
Name:
Address:.
City: P
zip:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Phone:
LIEN LAW INFORMATION:
Not pplicable
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: � Phone.
BONDING COMPANY:
blame:
Address:
City:
Zip: —� Phone:
✓Not Applicable
State:
Not Applicable
Zip,
OWNED/ CONTRACTOR AFFIDVIT: Application iherthe de to eobtain pea permit to do the work and installation as indicated-
OWNER/
certify that no work or installation has commenced prior
an applicable on that
Owners Association rules, bylaws or and covenants that may restrict or prohibit such
St. Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with Y, pP our deed for any restrictions which may apply -
structure. Please consult with your Home owners Association and review �e that I �ui41, in all respects, Perform the work
In consideration of the granting of this requested permit, I do hereby a4 Amendments..
in accordance with the approved Pians, the Florida Building Codes and St. Lucie County
ncurrency review: room
The following building Permit applications are vial s, signs,mpt
screen rrooms and aundergoing a full ccessory uses to another non'nesidential use
accessory structures, swimming pools, fences, g
osted on the jobsste
WARNING TO OWNER: Your failure to nof Commencement mus be re orded result
in rid p ur Paying twice or
improvements to your property. o A Notice
before the first ins Ctio . if you lnteNoti�obtain e of Commencement,
consult
with lender or an attorney before
commencing w or cordin your
owner/ Lessee/ Contractor as Agent for owner
OF FLORi
TY OF C__
The f ging instru ent was acknowledged efore me
this day of 20by
Name of persmaking s tement
Personally Known OR Produced identification
Type of Identification
ProducedDiv
�+`�,h1611##itlllj��i
(si
b c- to of F2)ri������.
Commission No. #FE 195557 4.
m g.
REVIEWS FRONT ZONING #tOPOVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COQ PLETEL
Rev. 8/2/3.7
of Conte--ractor%License Holder
STATE OF FLORID
COUNTY OF
The forg ing instrument was acknowledgedby re me
this(day of ly
Name of person making statement
Personally Known *,-`� OR Produced Identification
Type of lderstification ��X01111111111111
11 X1111r �/y�
Produced e rP-
. Lvfv -ho
(SigriSlhlt��1 iWa�a�.P��1�I�e or` Fiori� �..�
#FF 195337
Commission No. 0-* 5
f ¢�rriir�C �STA�:4: ot��
RELVIIEW � VEGETATION EVIEW� 5 R REVIEW MANGROVE REVIEW