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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MAST BE COMPLETED FOR, APPLICATION TO BE ACCEPTED Date: '71a6 � Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Residential Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: l�t (.. r,,/� PROPOSED IMPROVEMENT LOCATION: Address: 23SL4 i 1G�uY�� j L'a a Legal Description: bcak a6Q, ✓ S� i D Property Tax liJ #: � A5� :7 D alai ©©'� Lot No. I Q Block No_ Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: l�lC, Ckm'q- ntIA — U 4� -4"— � L% Ke - CONSTRUCTION INFORMATION: Additionalwor to e e orme un ert is permit—c ec F]Gas a a al p Y: Shutters Windows/Doors HVAC Gas Tank Piping _ ❑Electric 11 Plumbing Sprinklers U Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: E] Building Height: Cost of Construction: $ utilities: Sewer Septic OWNER/LESSEE: CONTRACTOR: 1 Ii hlmmo. James Snyder Name C-�a car K -s Address: S OU( i Flat. I �. City: P- • Y r�r( -e— State: �. Zip Coder Fax: Phone No. E -Mail: Fill in fee simple Title molder on next page ( if different from the owner listed above) Company: Snyde(s Cooling and Heating, Inc. AArt rocc• P.O.8ox2007 City: Fort Pierce State: FL Zip Code: 34954 Fax: 772-600-4811 Phone No. 772-528-3377 snyderscooling@aoi.corn State or County License: CAC18165791#26414 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMEN IAL CONS T RUCT1,0N LIEN LAVH INFORMATION: 5 G�, N ;i1 E#=R, loot Applicable Name: Address: City: State: Zip: Phone PEE SIMPLE TITLE HOLDER: Not Applicable Dame: Address: City: Zip: Phone: MORTGAGE COMPANY: Marne: Address• -" Not Applicable City: State: alp: Phone: 13ON SING COMPANY: ,/blot Applicable Narne: Address: City: Zip: Phone: 11 ONERI CONTRACTOR AFFtDVIT: Appfication 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 Home 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 ail respects, perform the worm in accordance with the approved pians, 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 your p erty_ A Notice of Cc�mmencemcnt must be records and posted on the jobsite before the first insp� s` f you intend to obtain financing, consult with le r ater an attorney before comrnencin work �cordirs our Notice of Commencement. Owner/ Lessee/Contractor as Agent for Owner TE OF FL:3i�l A JNT;°' OF c� • �U The forgoing instr ment was acknowledggi before me this2,� day of , �4 by (0-mp— e Name of perso making statement Pers win � OR Produced identification Type of Identification Produced 0 � 4i1! it {Signature of Notary Pubiic- State Commission No. Fr SASRINA L. BLACK y `. #FF 185337 a ntractor/License Molder TE OF FLORI A _ JNTY C3F �� LLU The forgoing instrument was acknowieda Eby re me this l day of j �— e S c( � Name of person raaking statement Personally Known t OR Produced Identification Type of�tif'scation Produced A% 1146ilfil��d�� (Signature of Notary Public- State of ria "s'S510/v �` j Commission No. p7i' I q 633 SABRINA L. BLACK. �� ; #FF 195337 ii 9 *\IEIW REVlEWS FRONT ISOR PLANS VEGETATION SEA TI COUNTER RE i';4l REVIEW REVIEW REV! DATE RECEIVED DATE CONIPLErED Rev. 8/Z/17