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Home My WebLink AboutWeiss - 3200 N A1A #903 SLCALL APPLICABLE (INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I f A ! l Permit Number: imams - -` wilding Permit Application Planning and Development Services Building and Code Reguiation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-7553 Fax: (772) 462-7.578 Commercial Residential PERMIT APPLICATION FOR: AC G - U KL_ 0 ��- PROPOSED IMPROVEMENT LOCATION: Address: aoc U �t1�2 �j• {�'1 � Legal Description: GI_ 3 Property Tax ID #: �`-7 �� - LQD� • q - 000 `4 Lot No. Site Plan Name: Block No_ Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: AC_ - t _ U l< e. -(�Uv LU K C, —1 �,2 1,4 5 e"V- 0� tk3 + 4-� 5I�t1J �✓ CONSTRUCTION INFORMATION: ATJ—itto—n—a wor to e e Orme un ert is permit --c ec a app Y: F1/_1_ HVAC Gas Tank DGas Piping _Shutters Q Windows/Doors Electric Plumbing O Sprinklers Generator I Roof Roof pitch Total Sq. Ft of Construction: SQ. Ft. of First Floor: ra Cost of Construction: $ 5' utilities: 11 Sewer 11 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name EYi �l r�S J�Q Q v� a'f Narne: James Snyder Address: 1�© r �y. l ✓ � i7 Company: Snyder's Cooling and Heating, Inc. Cit . ��Le— company - state: Address: P.O. Box 2007 Y: — Zip CodQ; L1+'9 L4 q_ Fax: City: Fort Pierce State: FL Phone No. LP i tD `] Zip Code: 34954 Fax; 772-600 4811 E -Mail. Phone No. 772-528-3377 Fill in fee simple Title Holder on next page ( if different E -Mail: snyderscooling@aol.com aol.com from the Owner listed above) State or County License. CACI 8165791 t#26414 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-. DE5jGfgr:R1ENGIN-kE'R: —.. Not Applicab Marne:_ Address: City: zip_ Phone State FEE SIMPLE TITLE HOLDER: V Not Applicable Dame:_ Address City: Zip: MORTGAGE COMPANY: Naive: Address.- City: ddress:City: Zip: _ Phone: v'Not Applicable State: 13C3iNE INC COMPANY: ✓Not Applicable Name: Address: City: Phone: i 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 installa tion has commenced prior to the issuance of a permit_ St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in cora ict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Dome 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 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 OWNER. Your failure to Record a Notice of Commencement may result in your paying Mice for improvements to your property. A notice of Commencement roust be recorded and posted on the jobsite before the first inspec. If you intend to obtain financing, consult with len er or an attorney before cornmencina workW-'recordiri iii r Notice of Commencement. �' .� `J ofOwner/ Lessee/Contractor as Agent for Owner re of Contractor/i icense Holder �iTATE OF FLORID E OF FLORIDA— }I f tS� . UNTY OF 7 4 cwt COUNTY CSF The forgoing instrument was acknowledged before me this day of anAo,L-A- C�—V 20JA by Name of person making statement Personally Known ✓ OR Produced Identification Type of Identification Produced The forgoing Inst ment was ackn wiedged before me. this,AA day of J2_gAq by Name of person king statement Personally Known OR Produced identification Type of identification Produced Car�pslepr�re��f�� r �r� [Signature of Notary Public- State FlgF1 1� 1�N •. b c- ategg FBF+�S'pN i +*,G Public - (Si nA8 +t � L s' ,• C? `usrv2,� oma•, = SA13R1 9.A L. BL.o�Cl� �� eal Commission filo_ Commission No.,�., *° .ik= ?• :FFi8F33"r z o #FF 185337 % y • %, 5 Rev. 8/2/17 si°iit'`VISOR I PLANS VEGETATION SEAT ii,111ii�i 4VIEW i REVIEW REVIEW REVI REVIEWS FRONT z__ i COUNTER REVII DATE RECEIVED DATE COMPLETE D Rev. 8/2/17 si°iit'`VISOR I PLANS VEGETATION SEAT ii,111ii�i 4VIEW i REVIEW REVIEW REVI