HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � 3r ( 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
PERMIT APPLICATION FOR: 1 C CA KC-
PROPOSED IMi'R01/I=MENT LO --AlTIQN. ff
Address: abc ; d a CAL Ft • 33t1 Y_
Legal Description:f~ r �!LV 1-61J ]�j
Property Tax Ifs#:-31402, ' D�P ` ' [�� _ Lot No.
Site Plan Name: Block No. ram '
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILEp DESCRIPTIDN Of WORK:
l ej,--
CONSTRUCTION INFORMATION:
Additional work to be e orme un er this permit-check a t apply:
®HVAC Gas Tank ❑Gas Piping _Shutters I t Windows/Doors
11 Electric Plumbing Sprinklers i �l Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
t--
Cost of Construction: $ o Q . Utilities: _Sewer[]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name 11} fie„ t'' , Name: James Snyder
Address: p l.I� i', Company: Snyder's Cooling and Heating, Inc.
City: Ce__ State: Address: P-Q•Box 2007
Zip Code:_ aQ Q W—)- _ Fax: _ City: Fort Pierce State:FL
Phone No- —7 Zip Code: 34954 Fax: 772-600-4811
E-Mail: Phone No. 772-528-3377
Fill in fee simple Title Bolder on next page (if different E-Mail: snyderscooling@aol.com
from the Owner listed above) State or County License: CAC1816579/#26414
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCT! N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable !MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: state: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: _Not Applicable
Name: 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 Count 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 appl"€cations 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 in ection. If you intend to obtain financing, consult with lender or an attorney before
commencin r recording our Notice of Commencement.
� I
of O 0e'
wner)Lessee/Contractor as Agent for O;;�,Iplpure of Contractor/License Holder
OATE OF FLORI DAJ STATE OF FLOR
COUNTY OF__� 1� .•. �r� c�r C' COUNTY OF P �U-t-1 r�
The fo oing instrument was acknowledge�jb efore me The for ping instrument was acknowledg before me
this day of 20L_b by this day of 2(? by
Name of person maki g statement a<�lli4iil!!0{j/ Name of person aking sta ement
Personally known ✓ OR Produced 11 {$ L, A'�s� Personally ltnawnOR Produced Idt°efica �:Z �'
Type of Identification q\� m •.•.r.ee —fit/ •.�� 11•••- .
YP ` ••o �h15Sl�� ••�f TYPeofldentificat'€on ��,mry2 �r •'ti r
Produced' ro�uy� <,;q•. Produced
s.® A ern: e OFF •� �
z FF 195337 c.�. j' •• °, dthns 5 .''z "
adm �as •off`` {Signature of Notary Public-State of Florida' s 8li •.••• Lo �ti
{5igr i dil a17' i �te of Flo z'4' 2g,nubE,t� ,.�o ��. SABR1 ��i,�A�STATE
,�1/�STATEo� *� Tllll!l111tl111�
Commission No FIG JC c3t �j (Seal'}`it ,,,;�'�ae�ti� Commission too. A �� Sea])
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.B/2/27