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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: vZ Permit Number: i Sam - 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: Name: James Snyder Address_ '3 11 Company: Snyder`s Cooling and Heating, Inc. PROPOSED IMPROVEMENT LOCATION: Address: P.O. Box 2007 City: Fort Pierce State: FL Zip Code: 34954 Fax: 772-600-4811 Phone No. 772-528-3377 Address: s a a (�i �n� Fill in fee simple Title Halder on next page ( if different from the Owner listed above) E -Mail: snyderscooling@aol.com State or County License: CACI 8165791 #26414 Legal Description: PDAP1Ulr e_yu e— Property Tax ID #: _2323 -7D-7 - 00 1 c);� - Lot No. O Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: Me- - L [� e_ f=a r' L Ke_ I^ CONSTRUCTION INFORMATION: Additional work toflGasTank orme under tis permit -check a t appy: ®HVAC []Gas Piping Shutters E]Windows/Doors F= Electric II Plumbing Sprinklers In Generator Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ q�_ ©, r Utilities:n Sewer FISeptic Building Height: OWNERAESSEE: CONTRACTOR: Name I G�- Name: James Snyder Address_ '3 11 Company: Snyder`s Cooling and Heating, Inc. City: - State:' Zip Code: j �g(.P Fax: r Phone No. -7 - (] 7J��p 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 Halder on next page ( if different from the Owner listed above) E -Mail: snyderscooling@aol.com State or County License: CACI 8165791 #26414 si vd[ue of consirucilon is >LbUU or More, a KLLUKDt❑ Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMA1ION: DESIGN EIR/ENGINEER: V Not Applicable Name: MORTGAGE: COMPANY: v`,Not Applicable i Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLBER: T 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 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 youpro erty. A Notice of Commencement must be record and posted on the jobsite before the first ins.p'ectjlf you intend to obtain financing, consult with berider or an attorney before commencing Work or recording your Notice of Commencement. . , y Sigxsa °of Owner/ Lessee/Contractor as Agent for Owner re of Contra ctor/Uce n se Holder E OF FLORID _ ® OUNTY' OF �Ul./ t TATE OF FLORIDA , COUNTY OF �5 , The forgoing instr�t uas acknowledge efore me 1 The for o� instrumP t was acknowledged before me this of 26 IS by this I)-�lay of 2a y 6 :Sri Name of person raking statement � Marne of person aking statement � Personally Known OR Produced Identification Personally Known OR Produced identification Type of Identification Type of Identification Produced Produced LJ Ifdorrs�r �"��i INA4rf�`���i/ I ....,, Cay !: Si ff a P €i - c�tYe of�°oric�aMiSSIp�`*.��'�°i� ' (Signature of Notary Public- State of Florid'&uarY®2 �a9�FA'��,•. Commission No. SAB Il r_ FF 196337 �p REVIEWS FRONT .. 86�, Z0N11 Q,94 1c, llndertiti;C:9•'Q�'��q r F�1E R PLANS VEGETATION rile SEATURTLE (�� •..... •• �pQe�� COUNTER REVIEW 1�1101 IW14 EW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2,/17