HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Rate: I 1 U Permit Number:
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__. Building Permit Applicati®n
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Residential
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: 41 C_
PROPOSED IMPROVEMENT LOCATION:.
Address: 6�2a �s
Legal Description:
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Property Tax ID 4: f o�� 2D I – :5 ccDf -7
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 3
— �i
Block No. b()
CONSTRUCTION INFORMATION:
it,ona war to e e orme un ert is permit c ec a app y:
�j Gas Piping Shutters Windows/Doors
�_ HVAC L.J Gas Tank ❑ P g
L1Electric Q Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $L is
I OWN ER/LESSEE:
SFt. of First Floor-.
Utilities Sewer 0 Septic
Name �t-
Address:_ss. t--�C3 ►
n�
City: -State: �.
Zip Code: Fax:
Phone No. TSA Io � ~ Q(,,-
E -Mail -
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above) -
CONTRACTOR:
Building Height:
Name: James Snyder
Company: Snyders Cooling and Heating, Inc.
Address: P.o_ Box 2007
City: Fort Pierce State -,FL
Zip Code:34954 Fax: 772-600-4811
Phone No. 772-528-3377
E --Mail: snyderscoo[ing@aol.com
State or County License: CACIS16579 1 #26414
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CQNSTRUCTPN LIEN LAW INFORMATION:
Not Applica
Warne:
Address;
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: _ Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone,
_ZNot Applicable
State:
,"Not Applicable
hereby made to obtain a permit to do the work and installation as indicated.
OWNER/ CONTRACTOR C?R AFFl7tif1T: Application is
I certify that no work or installation has commenced prior to the issuance of a permit..
ct
St. Lucie County makes no representation Home OEtisirners Association onE rules, or and ermit venanntsthat mayr to a esti ct�orpr structure such
which is in conflict with any applicable
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 au -Ming 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 your property. A Notice of Commencement must be recorded and pasted on the jobsite
before the first inso ct1 If you intend to obtain financing, consult with I der or an attorney before
commencing wdrk occ�rdin� your Notice of Commencement
owner/ Lessee/Contractor as Agent for Owner
OF FLOdT
Y OF 1 �E
The for oing instru ent was acknowledge efore me
t7�.Lz
'� 24 by
eJx epi
Name of person malting statement
Personally Known ✓ OR Produced identification
�y eon Identincation
Produced `.',`,-L14BbA'0l�`�'/
(Signature of Nota , P [Elij, State of &— ri �
Commission No-
A0.� v meal 61
�<< rH11444'414`�ee .
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW � REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Contractor/License Holder
€`ATI= OF FL�A L
COUNTY OF
The fo oing instru ent was acknowledgec�,before me
this T day of� 20 by
Name of person making sta ement
Personally Known ✓ OR Produced Identincation
Type o Identificat'son ``e�eti114111i1H1/I/�A
Produced
�9•i.i lr�
�,�SaION��'�;•
[Signature of Notary Public- State of FE ) ;•'"
"iiBRINA L. G J3 #FF195337;YZo
Commission No• !ice/Plic'
��B f+C 5 tlNO
PLANS VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW