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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FDR APPLICATION TO BE ACCEPTED Date: t Permit Number:FUBuilding Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 349$2 Residential Phone: (772) 462-1553 Fax: (772) 452-1578 Commercial PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCA Address: SCP.1 b, 5u" - Legal Description: L- "v'0nCK Property Tax ID #: � � D � � & C) �' � " � Lot No.—L.L— Block No. q Y Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORT[: Q- CAI cam-+ _ ice` 6z-, Iq CONSTRUCTION INFORMATION: Additional work to oe i3erronme un er t - Permit- c ec a t app y: HVAC GasTank FIGas Piping Shutters �n Windows/doors p Electric Plumbing E5 rinklers LJ Generator I J Roof a Roof pitch Total Sq. Ft of Construction: SO. Ft. of First Floor: Cost of Construction: $ �j Utijities:E] Building Height: OWNER/LESSEE: - Name Q -V- Le- t.l Address: City:tP i �' - Stater Zip Code: Ll `� 6 Fax: `— Phone No. f` E -Mail: Fill in fee simple Title Holder on next page [ if different from the Owner listed above) CONTRACTOR: Narne: James Snyder r R,n,,.,. SnydeCs Cooling and Keating, Inc. .....,.r_ -.,- n AAracc• P.O. Box 2007 City: Fort Pierce State: FL Zip Code: 34954 Fax: 772-600-4811 772-528-3377 snyderscooling@aol.com State or County License: CACI 816579l##264'14 If value of construction is $25©Q or more, a RECQ I7ED Notice of Commencement is required. SUPPLEMENTAL C©NSTR I�ESIGNEIiJE3��I'NEER: Name:_ Address: City: Zip: Phone ICTPN LIEN LAW INFORMATION: Not Applicable MORTGAGE COMPANY: State: FEE SIMPLE TITLE HOLDER: ✓ Not Applicable Name:_ Address: City: Zip: Phone: ✓ Not Applicable Name: Address: City: Stater Zip: _ phone: BONDING COMPANY: ✓Not Applicable Name:_ Address: City:_ Zip: Phone: OWNER/ CONTRACTOR AFFIDVI T : 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 prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the hermit balder to bund 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, t 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 fallowing 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 haying twice for improvements to your property. A Notice of Commencement must be recorded and pasted on the jobsite tain financing, consult with lender or an attorney before before the first inspection. If you intend to Ob commencinW�v000r record in our Notice of Commencement. of Owner/ Lessee/Contractor as Agent for Owner KATE OF FLORIDA COUNTY OF �� � The fgrg ng instrument was acknowledged efore me this DSday of 2Qby JD-N--Q� '14J Name of person making stateme t Persona ✓ OR Produced Identification Type of identification Produced ,�q�1949i311lf1!!/!a _,�a\y�PRI (Signurolotary Pt€bc�� of Fiorid �,� rr 3 Commission No. �Y { ; y #FF 795337 S p A LACK 9� •. ?',,o ddPd this 6% REVIEWS FRONT ZONING SUPIQf COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 of Contractor/License bolder 01 STI ATE OF FLORIDA COUNTY OF � t �(�'� «✓� The forgoing instrum t was cknowledged efore me This day of 2(iby Name of peri making statement Perscnal' 1�� l OR Produced Identincation Type of Identification;y�4t4491f1!!//0 Produced ``,,tit�`� cPBr�(1C.li of notary Public- State of Flort * �O�rg�33BRIT m No. �!`f -i 7-E W4 PLANS VEGETATION 51-A TURTLE { MANGROVE REVIEW REVIEW REVIEW I REVIEW