HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462.3553 Fax: (772) 462:-1578 Crmmerciai Residential
Property Tax ID#:+�, -�(� - �� 0-�BC�"� Lot No.
Site Plan Name: Block No__
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION
AAc ditiona `rvor to—be erformed under this permit -c ec allapply:
ZHVAC
a Gas Tank
Name 0
[]Gas
Piping
Company: Snyde"s Cooling and Heating, Inc.
� Shutters
Q
Windows/Doors
11
Electric
Plumbing
State or County License: CAC1816579 / #26414
O
Sprinklers
El
Generator
E
Roof
Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4(!5q o
W
Scn'SeweroSeptic
of First Floor: _
Utilities:
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 0
Name: James Snyder
Address: fes' LJeSit 16
Company: Snyde"s Cooling and Heating, Inc.
p
City: P'w�_ i-r^-t�t _ State
Zip Code: J�c�J Fax:
Phone No. O Cr3Y " 616'1
Address: P.O. Bo)(2007
City: Fort Pierce State: FL
Zip Code: 34954 Fax: 772-600-4811
Phone No. 772-528-3377
E -Mail: —�"`r
Fill in fee simple Title Holder on next Rage ( if different
from the Owner listed above)
E -Mail: snyderscooling@aol.com
State or County License: CAC1816579 / #26414
If value of construction its $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI N LIEN LAM INFORMATION:
OESiGNE#i�'ENGiNEE R: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address; Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable i30I1IDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: 9 City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIUVIT: 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
swhich is in tructure. Pleasecconith any sult with Home 0 canners Asownersociation on andssociation rrev ew your deed or any restrictions which maylaws or and covenants that may restricty aprohibit such
in consideration of the granting of this requested permit, l do hereby agree that 1 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 non-residential use
WARNING TO OWNER: your failure to Record a Notice of Commencement may result in your paying twice for
improvements to yo,LWproperty. A Notice of Commencement must be record d and posted on the jobsite
before the first i actio you intend to obtain financing, consult with der or an attorney before
commencing or ording your Notice of Commencement.
Owner/ Lessee/Contractor as Agent for Owner
UE OF FL
LINTY OF
The for Ding instru t was acknowledged before me
this l- day of20 Q(by
eAr'
Tame of person making statern nt
Personally Known ✓ OR Produced Identification
Type of identification
Produced
L.
�'y,� N
(Sign atu re of Notary Public -State or ori G'SSIO
CS")WY��°�•.
Commission No. k"Oegi
4W AW
#GG 289862 `y :• �r
nded
REVIEWS FRONT II ZOi�i%i•,4p
COUNTER i REVIE11�If/r8/ °.SW6
DATE
RECEIVED
I COMPLETED
Rev. 8/2/17
o4 Contractor/License Holder
STAVE OF FLORID L�ut� E,
COUNTY OF
The forgoing instru/�ent was acknowledged before me
this I -L dayof f�',bvtA" 2-0 _ by
Mame of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(sig a li to of F$rPda51�E�-'��i
Cs g� gw �a
Commission No. dal
Z : 9 #GG 289862
Z *e.'..
i9�y••. bric0ndg •'•Ci
PLANS VEGETATION SEA TUi��I •Ps9
REVIEW REVIEW REVIEW