HomeMy WebLinkAboutSuit - 1012 Echo Street FPALL APPLIICyA�F
BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -� f �-� ! I q Permit Number:
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 APPLICATION FOR: 4-c, yr�L rU y (ter
PROPOSED IMPROVEMENT LOCATION: �y
Address: (Sf
Legal Description: bo � C,k�� %�� ��j�P �
i
I/A. D 10 -P-9 dW- A� - 37,5 1-6j-
Property Tax ID #l: � 34P)3
Site Plan Name:
Proiect Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Li Ki e-
0 1 GO
E
uS- J-�m. 41,
Lot No._
Block No.
Additional wotkto be nerformed under this permit—check all
❑Gas Piping
h apply:
Shutters
Q Windows/Doors
iHVAC
rUv�
E
Address: D �— &hQ 1
Gas Tank
City: i eN Ute— State:r �.
Zip Code: Fax:
Phone No. �� ~ �3 -7
Address: P.O. Box 2007
City: Fort Pierce State: FL
Zip Code: 34954 Fax: 772-600-4811
Phone No. 772-528-3377
E -Mail: —
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Electric
❑ Plumbing
Sprinklers
L�I
Generator
Q
Roof
Roof pitch
Total Sq. Ft of Construction:
nn a-0
Cost of Construction: $ U10,
a
5 Ft. of First Floor: _
Utilities: L_I Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name1�
Name: James Snyder
rUv�
E
Address: D �— &hQ 1
Company: Snyder`s Cooling and Heating, Inc.
City: i eN Ute— State:r �.
Zip Code: Fax:
Phone No. �� ~ �3 -7
Address: P.O. Box 2007
City: Fort Pierce State: FL
Zip Code: 34954 Fax: 772-600-4811
Phone No. 772-528-3377
E -Mail: —
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: snyderscooling@aol.com
State or County License: CACI 816579 / #26414
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required-
Fme:
ENTAL CONSTRUCTION LIEN LAW INFORMATION:
ENGINEER: _ Not Applicable MORTGAGE COMPANY: � Not Applicable
Name:
Address;
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address
City: l City:
Zip: Phone: 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.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure, Please consult w with yoiurHlome Owners Association andation rreviewylaws your deed fornd a any restrictions venants which i�i-�at: may restrictor
apply obit such
In consideration of the granting of this requested permit, I do hereby agree that 1 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 twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first s,,aection. If you intend to obtain financing, consult with ender or an attorney before
commencin ooc or recording your Notice of Commencement.
re of owner/ Lessee/Contractor as Agent for owner
STATE OF FLORI Aj /'
COUNTY OF [ I--cA.r_d R__
The forgoing instru n was acknowledged before me
thisdayof eV6&04- 20 liby
Jam
J
Name of person @king statement
Personally Known r OR Produced Identification
Type of identification
Produced
L
ISig�Ai3lpf rLy.138CEAe e ofFlorj;CA Ts •'` Y2 kp
Commission No � a'g� $� � f sealtk
5� �,' a,�, puede �7�ao .'•�'
REVIEWS FRONT ZONINfi��i� R'1ir
COUNTER REVIEUI/
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF " 6 -
The forgoing instr�Lrnpt was acknowledged before me
this o2ay of C&* �A-v 20Jq by
Name of person making statement
Personally Known i/ OR Produced Identification
Type of Identification
Produced
�y1NA L.
�5ignature of Notary Public- State of Flo 5ABRINA L. BLACK
a ];'� to •.
y
�a nmission No. =E ) 4GG28p862
�` dam".-�''�a @a �.•
S .: � •. kc a Q-
EA TURT
REVIEW VEGETATION
S REVIEW
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