HomeMy WebLinkAboutWoodin - 7006 Plumosa Lane SLCALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
J ict C 1$ Permit Number:
-� Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Residential
Phone: (772) 462-1563 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: P,1( C,,
,L� Ke- U Ke- 2
PROPOSED IMPROVEMENT LOCATION:
Address: bo& I Fe
Legal Description:
Property Tax ID #: 1 2561 ^ Le 13 - D,;� 5O bof) —(p
Site Plan Name:
Project Name:
Setbacks Front Back: might Side. Left Side:
DETAILED DESCRIPTION OF WORK:
�• 4 s e-� L ro K� v�
CONSTRUCTION INFORMATION:
itiona wor to e e orme under tispermn:—c
ZHVAC Gas Tank Gas Piping
11 Electric Plumbing Sprinklers
Total Sq. Ft of Construction:.
oQ
Cost of Construction: $�D
I OWNER/L�SS€E: r n ,—
Lot No.
Block No__
t apply:
nShutters QWindows/Doors
Generator El Roof
S Ft. of First Floor:
Utilities: 0Sewer QSeptic Building Height:
Narne �Kc�W.,
Address: L''
City: -e-v 6,r—
Zip
L State:
Zip Cone: L3 5 I Fax:
Phone No. `7 47 -7J
E -Mail:
Fill in fee simple Title Halder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Narne: James Snyder
r'mmanw Snyder's Cooling and Heating, lnc.
AArir,=cc• P.O. Box 2007
Roof pitch
City: Fort Pierce State: FL
Zip Code: 34954 Fax: 772-609-4811
�i,nna nkn 772-528-3377 _
E -Mail: snyderscooling@aol.com
State or County License: CAClB165791#26414
If value cif construction is $25E1® or mare, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONS T RUCTI
DESIGNERI€NGINEER:
Name:
Address:
City:
Zip: Phone
PEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:—
LIEN LAW INFORMATION:
-_mot Applica
State:
Not Applicable
MORTGAGE COJVIPANY: Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: ,mot Applicable
Marne:
Address:
City:
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 priorto the issuance of a permit-
Sre
t, Lucie County makes a representationpUcableoeaOiwn Owners
Association s rulesabylaws or orize and covenanmit ts that mayer to drestricthorprohibit such
which is inleaconflict with any app
structure, Please consult with your Home owners Association and review your deed for any restrictions which may appy.
in consideration of the granting o, 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: roomadditions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Retard a Notice of CoMmencernent may result in your paying twice for
n-trrlencement must be retarded and posted on the jobsite
improvements to your property. A Notice of Co
before the first inspection. if you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement
signature of Owner/ Lessea- t 'actor as Agent for Owner signature of ContractcI se ider
ST ATE OF FLORI, ,
�
STATE ATE O� l=L®R�;� -
COUNTY OF COUNTY OF.
i -.
Ther"or { instr nt was ac knowledge#efore me
The for stru nt was acknowledged efore me this day of 200 X by
this y of 20 by
GL�/1n e— 5 E'J✓ j
Name of person aking state ent Name of person�cnaking statement
Personally KnownOR Produced Identification Personally Known ✓✓ OR Produced Identification
Type of Identification Type o enti station
ProducedProduced k`e�r4i1'A1010111H'efi,.
r��4il�llf#Iil�l! y SR1NA L,
s'� .•*•••° 9 �� . ` MISS! •. c^ 'r
A. tuar5' F^'•
(Signature of Notary Public -state r 441gria`j '���' ^ = (Signature of NotaryPublic-o+f/7FEc ' �:
OaE5'~fSg 195337 Commission No. sl �r�5337
commission No. a : r�r @'a i L*ZM0asdthsu
j9 . �y°nd'ed tT,N ye a° cQ'� �a.' : ! ! i al A %. LACK
i
SABRINA L. BLACK i/�A ''u6;,cu) /v�f���•. ����`��ti
fill III
REVIEWS FRONT ZONING I SUPERVISOR PLANS VEGETATION SEAMANGROVE {
COUNTER REVIEW � REVIEW REVIEW REVIEW REVVIEWIEW REVIEW
DATE
RECEWED
DATE
COMPLETED
Rev. 8/2/27