HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
12, 1 11 � Permit Number:
Date: L_
els-,
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34.982
Phone: (772) 462-1553 Fax: (772) 462-3578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: `p
-73 I `
Legal Description: ✓v`kL i
Commercial Residential
a,-,--Gv L; K e— .
W
Property Tax ID #: �j�i� DD
Ci+,ni Dl�n T%ln rG- _
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
ttiona wor to e e orme un ert is perm,t--c
®HVAC E] Gas Tank E]Gas Piping
F Electric D Plumbing LISprinlders
Total Sq. Ft of Construction:
Cost of Construction: $
OWNER/LESSEE:
z
U1�e,E
Lot No. '360
Block No.
apply:
Q
Shutters
Windows/Doors
Generator
Roof Roof pitch
sc Ft. of First F�{
loor.,
utilities Sewer fJ Septic
Nameave Yri/
Address: 77A
City: f-�' �i .+ c.+ tate:
Zip Code: cF�ax:
Phone No. `?�. -q X�i -q-5, —
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
hiarrra. James Snyder
Building Height:
Company: Snyder's Cooling and Heating, Inc.
orlrlrPcc. P.O. Box 2007
City: Fort Pierce State:FL
Zip Code: 34954 Fax: 772-600-4811
Phone No. 772-528-3377
F_Mail snyderscooling@aol.com
State or County License: CACI 8165791#26414
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLE .MENTI AL COINSTRUC N LIEN LAIN WFORMATION:
QESIGNEI INGfNiI=ER.. _ Not Applicable
Name-.—
Address
ame:Address
City:
Zip:
Phone
FEE SIMPLE NTLI=• HOLDER: ,� Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Address:
City:
Zip: Phone:
Not Applicable
State:
v' Not Applicable
OWNER/ CONTRACT OR AFFIDVIT: 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 a representation plcaethat is me Owners Associat ons rules,by bylaws or ane thed covenantssthat may reser cthor prohibect it such
which is in conflict with any app
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideratiwi 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 Building Codes and 5t_ 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 C}3J11 :'Tour failure to Record a Notice of Cornmerrcerrterat ma result in your paying twice for
impro��e rents i t property. A Notiice of Commencement must be r o ed and posted on the jobsite
before the fir " spection. If you intend to obtain financing, consult oder or an attorney before
corn menci lark or recordirt our Notice of Commericernent.
of Owner/ Lessee/Contractor as Agent for Owner
ST A,TE OF FLD
COUNT' OF , �w W
The forgoing instrument was a knowledged before me S
this2day of 20 i by
Name of personalcing statement
Personally Known OR Produced Identification
Type of Identification
Produced
1�0
�[ f
(Signature of
�otarv_Pural elateof or9ABRIN� ,.
Commission No. -� i * eeal7s.
z #FF 195337 Q
of Contractor/License Holder
STATE OF FLORI
COUNTY OF
The forgoing instru nt was acknowledged �efore me
this_�Lday of ccpa.a.✓ 2i]L by
Name of personmaking statement
Personally Known _ OR Produced Identi ilk%Alavl�q
Type of Identification ���ti`'ppaRlNA (B�/isi
[Signature of Notary Public- State of
SABRINA L. BLACK
Commission No.
....• 1 OR PLR1 5 VEGETATION SEATURTLE
REVIEWS COUNTER REV] EW lir IES REVIEW REVIEW REViE1N
DATE
DECEIVED i
I COMPLETED
Rev. 8/2/17
.Go�,�+Iss;�,y •;C;�
MANGROVE
REVIEW