HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number:
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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)462-3578 Commercial
PERMIT APPLICATION FOR: AA (C-
PROPOSED IMPROVEMENT LOCATION:
Address: (Ouu qi�� L- cam , 5
Legal Description:
(03.
Residential
0__L9 (moi lk. L_ -� U k -Q --
Property Tax ID #: e i 3 L I I- Lot No._
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
CONSTRUCTION INFORMATION:
Additional war to je�e Orme under this permit— c
HVAC LJ Gas Tank ❑Gas Piping
Electric ❑ Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
'EnaT, apply:
_ Shutters Q Windows/Doors
Generator 11 Roof Roof pitch
5 1 Ft-
{ of First Floor:
Utilities: ::]Sewer[] [] Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name c�Kn a o -i rYVoay
Name: James Snyder
Address: i A0 U LA +n 1,4,_ �
Company: Snyder`s Cooling and Heating, Inc.
CitState: 'FI
Zip Code: I Fax:
Phone No. - i 9q " p��5i{
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: CACI 8165791 #26414
if value of construction is 52500 or more, a REC(3Rutl3 Notice or tornmencement is requcreu.
SUPPLEMENTIALCONSTRUCTI N LIEN LAW INFORMATION:
DESIGNER/ENGINEER' Not Applicable
Name:
MORTGAGE COMPANY: -"'Not Applicable
Dame:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFID IT: 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 Cones and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a ful€ 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
rnmmPnrinrs Wnrk nr rernrding vnur Notice of Commencement.
Rev, 8/2/37
Signature of Owner/ Lessee/Con ctor as Agent for owner
signature of Contractor/Licens o r
STATE OF FLORIDA
r`
STATE OF FLOR D �'
COUNTY OF
COUNTY OF
The forte in � nt was acknowledge efore me
this. y of — 20 � by
e -W
strp ent was acknowledged fore me
Th�e��day
r cam^-- � 20 rl 'y
( e�
Name of persorymalcing statement
Personally Known ✓✓ OR Produced identification
Name of personkjng statement
Personally Known L OR Produced Identification
Type of identification
Type of Identification
Produced
Produced
(Signature of Notary Public-Stateof Florida) I
(Signature of Notary Public: - State of Florida ]
Commission No. ` (Seal)
Commission No.FF P� ! , (Seal)
i
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev, 8/2/37