HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S 1 Ill t 8 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 Comm
ercEa1
PERMIT APPLICATION FOR:
U�3 — l; �� -hd L --r
PROPOSED IMPROVEMENT LOCATION:
Address: q 3-7 �� rpm �-�L
Legal Description:-Scao"J cx('""`— -] r `�� �
Lot No. -70
Property Tax ID #: UaZ� -
Block No_
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CP-
CONSTRUCTION
CONSTRUCTION INFORMATION:
A itiona wor to [ege orme un erMGas
permit -c ec a aPPY:
®HVAC LJ Gas Tank Piping _Shutters
11Electric❑ Plumbing ❑Sprinklers ❑ Generator
Total Sq. Ft of Construction: /
Cost of Construction: $ L ► �
OWNER/LESSEE:
.
Sq. Ft. of First Floor:
Utilities: 0Sewer []Septic
Name CSA
Address: -79 1-7 f Db 14 r
City: � � # . � g — State:
Zip Code: -�)W '2 to Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
❑ Windows%Doors
❑ Roof Roof pitch
Building Height:
Name: James Snyder
Company: Snyder's Cooling and Heating, Inc.
drlriracc• P,O, Box 2007 —
City: Fort Pierce State: FL
Zip Code:34954 Fax: 772-600-4811
Phone No. 772-528-3377
E -Mail: snyderscooling@aol.com
State or County License: CAC13165791 #26414
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMEI i AL CONS T RUCTI
N LIEN LAW INFORMATION:
DESIGNERIENGINE_R, _
Not Applicable IVIORTGAGE COMPANY: of Applicable
Larne:
Name:
Address:
Address:
State:
State: City:
City:
Zip: Phone
Zip: �_� Phone:
PEE SIMPLE TITLE HOLDER:
of Applicable BONDING COMPANY: Not Applicable
Name:
Name:
ddress:
Address:
City:Zip.
City:
Zip: Phone:
, — — Phone:
�}�)�Eg��r CQN�"I�ACT®R AFf=li�ilgT: Application is hereby made to obtain a permit to do the +mark 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 hoiderto build the subject structure.
which is in conTlict with any applicable Home owners Association rules, bylaws ar 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 I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Godes 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 OWN :'Your failure to Record a Notice of Commencement m result in your guying tvvice for
improvements to l roperty. A Notice of Commencement must be o ded and posted on the jobsite
before the first' sp tion. If you intend to obtain financing, consul' ender or an attorney before
cornmencin or or recordin our [notice of Commencement. �
e of owner/ Lessee/Contractor as Agent for owner
KATE OF FLOPU Ltn�v;
COUNTY OF ( !!�
The forgoing instr meat was acknowledged efore me
this i dayof 2Qby
Name of pemaking tatement
Personally Known rsa � OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public -State of Florid eA4� 'r'n r•,
4` F� 1Pi m,,
Commission No.
SABiRll,I� . BLR�K sn.: #FFiS5337
REVIEWS FRONT I ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
re of Contractor/License Holder
STATE OF FLA
COUNTY OF � �
The forgoing instrument was acknowledge before me
this c� l day of 20 C by
Name of persop making statement
Personal' nown � OR Produced Identi icatiort
Type of Identification
Produced
Y g�, Pcs3dtgr/
i
!Signature of Notary Public- State of . ' ri ....tBSfp °'�' V.
4Cs NF •ti :�
C remission No.
SABRINA L. BLA�I< sem. AFF 195337 F
-
PLANS VEGETATION SEA
REVIEW REVIEW RE