Loading...
HomeMy WebLinkAboutCimino - 540 Thames Bluff Ridge SLCALL APPL CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: J? I I d Permit Number: ., F.... r: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APP LICATI0N FOR: I c., CJq PROPOSED IMPROVEMENT LOCATION: dd rA ,-, ., T) I (--A A Legal Description: l a s 6 clbo J 0 Property Tax ID #: u Lot Block No. Site Plan Name: Project Name: Setbacks Front Back; Right Side: Left Side: DETAILED DESCRIPTION OF WORK- aO J CONSTRUCTION INFORMATION: Additional wor to IDe erTorMeU un ert sspermst--c ec a appy: ®HVAC Gas Tank F]Gas Piping _ Shutters Windows/Doors Electric Plumbing O Sprinklers Generator L J Roof Roof pitch Total Sq. Ft of Construction: 10 Cost of Construction: $ 9 ®� D OWNER/LESSEE: S Ft. of First Floor: Utilities: L=..lSeptic NarflerD�C�� Address: SqO l City: a>1 tx CP— Mate: f�I. Zip Code: +: ?A Fax: Phone No. -P`ta — 43a I -596L4 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) . CONTRACTOR: .Somas Snvder Building Height: Snyders Coaling and Heating, [nc. Address: P.O. Box 2007 City: Fort Pierce State: FL Zip Code: 34954 Fax: 772-600-4811 Ahnna Nn 772-528-3377 E -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. SUPPLEMENTAL CONSTRUCT10N LIEN LAW INFORMATION: IDESIGN RJENGINEEIR: _ Not Applicable Name:_ Address: City: Zip: Phone State: FEE SIMPLE TITLE HOLDER: _`' Not Applicable Name:_ Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: City: Zip Phone: ,,N -at Applicable State: BONDING COMPANY: --'N-ot Applicable Address: City: Zip: Phone: OWNER/ CONTRACTOR 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. ct 5t. Lucie is C COnflimakes no representation Hme that is nersAssociat; Association rulesabyi ws or and covenantsit ehat to maiydreste;ct or prohibit such which is in conrlict 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 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 nn -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 posted on the jobsite before the first in ion. if you intend to obtain financing, consult with lender or an attorney before commencing rW recording our Notice of Commencement of Owner/ Lessee/Contractor as Agent for Owner kTE OF FLORI ` UNTY OF The forgoing instrument was acknowledged before me this day of �_ , 201 '1 by Name of persaping staternent Personally Known ✓ OR Produced Identification Type of identification Produced {Signature of Notar Notary Public -State of orip>� Commission No- ;,. #F'' W337 Via, o%ay da�1hN �z�;� AO REVIEWS FRONT Z01�114G§o� ���� 15© COUNTER REVIEW � REVIEW DATE RECEIVED I CON IPLETED Rev. 8/2/17 of Contractor/License Holder 0 S i ATE OF FLORID COUNTY OF The forgoing instrument was acknowledged before me this day Of �►n�o�✓�- 2C_ by c5ho 'Vv Name of person paldng statement Personally Known >OR Produced Identification Type 3f Identification Produced 5i nature ar""data Public -state of Florist °=�s`�1py•. y g : �' 4tuary4 aFy`• Commission Na.!� 185337 R PLANS VEGETATION SEA TURTLE���j� a� Y•y I� •• � e REVIEW REVIEW REV[