HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED {
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Date: �I Permit Number: � U V �^ a
RECEIVED
Building Permit Application JUL 2 52'018
Planning and Development Services ST. Lucie CoMy, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential V
PERMIT APPLICATION FOR: _ (
PROPiaSED 111lIPRQ\%EMENT L(JCATQN
f s_ -
Address: 5 �1 vrri��n Q tett cam:�*2
Legal Description: t X CD
Property Tax iD#: � - dd�5 ' L�n— Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED QESFCR[PTIONQ VILORK
�CONST.RUCTION INFORMATION R y
Additional work to be nertormed under this permit—check all that appy:
®HVAC (tel Gas TankGas Piping _Shutters a Windows/Doors
QElectric O Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ !i c hi 3,�=� _ Utilities: Sewer F1 Septic Building Height:
fJWNER(LESSEE s ;C
ONTRACTQR
Name .JC7VW Q b;0 11L� Name: dames Snyder
Address: Company: Snyder's Cooling and Heating,inc.
City: _ , t(�_ State: 1-1. Address: P.O.Sox 2007
Zip Code:y �� gZ Fax: -" City: FortPierce State:FL
Phone No. `-7'7�-7 ID -Aqq 5A Zip Code: 34954 Fax: 772-600-4811
&Mail: -- phone No. 772-528-3377
Fill in fee simple Title Holder on next page(if different E-Mail: snyderscooling@aol.com
from the Owner listed above) State or County License: CACI 816579 t#26414
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i
SU:APLEIVIENT,4L CQNSTftUCT1 N LIED LAWINFORN[ATION: _
DESIGNERJENGINEER: �Not Applicable MORTGAGE COMPANY: �Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip:
Phone:
PEE SiMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: VNot Applicable i
Name: Name: I
Address_: Address:
City: City:
Zip: Phone: Zip: Phone:
OVVNERj CONTRACTOR AFFiDViT:Application is hereby made to obtain a permit to do the work and installation as."indicated.
1 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 Horne Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,l do hereby agree that 1 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 you r erty.A Notice of Commencement must be recor d and posted on the jobsite
before the first in n. I€you intend to obtain financing,consult with der or an attorney before
commencing w recording our Notice of Commencement.
re of Owner/Lessee/Contractor as Agent for Owner ature of Contractor/License Holder
TATE OF FLO QA STATE OF FLORIDA
COUNTY OF l . c e. COUNTY OFThe forgoing instr ent was acknowledgedbefore me The forgoing instr nt was acknowled a before me
this day ofTLAAA- ,20 by this� day of .20 by
Com`e_5 eArl
Name of person maki g statement Name of person making statement -
Personally Known OR Produced Identification Personally Known ✓ OR Produced identification
Type o entification Type a entification
Produced Produced �RIN,��f�°°°°i
<a ry 2 (Signature of Notary Public State o loilda)X' -o
(Signature of Notary Public-State. Flgr�`lk� ao . , f ., ?,.
Commission No. ��'
�t�M53,33= ° (S � �D Commission No. i95 33�r9•; S �a1 5+ ��
.;Ublic19Un5d3e37 ���'�• ;�CWih' L.BRACKSABRINA L. BLACK
s>j�l/�••..,..• �Q��s�
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REVIEWS FRONT ZONING gU�i ISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17