HomeMy WebLinkAboutGelb - 5759 Sunberry Cir SLC ALL 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)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: C h .n py-4- Uk_e Ut"tl
PROPOSED IMPROVEMENT LOCATION:
Address:_ j c cn �j rr Ct-rc t,(_ -64 . Oir✓cP 4Le �(!�S-
Legal Description: PDe+& -)0_9b okeS k1 h&2 q&-t(o
Property Tax ID##: d� — 01clo 000 — ,2- Lot No. �
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
44 401 l r to es 0 1 L-Co "ct4e,_
CONSTRUCTION INFORMATION:
Additional work to be pertormed under t is permit—check all apply:
ZHVAC Gas Tank Gas Piping Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft_ n
of First Floor:
Cost of Construction:$ 50 f 0• O�7 UtiIities:Cn Sewer LJ Septic Building Height:
OWNERAESSEE CONTRACTOR:
Name /r f ll l G rLh Name: James Snyder
Address:_ Company: Snyders Coaling and Heating, Inc.
City: State: - Address: P.O.Box 2007
Zip Code:_� �1 Fax: City: Fort Pierce State:FL
Phone No.(777, l - 3U Zip Code: 34954 Fax: 772-600-4811
E-Mail: Phone No. 772-528-3377
Fill in fee simple Title Fielder on next page(if different E-Mail: snyderscooling@aol.com
from the Owner listed above) State or County License: CAC18165791#26414
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL. CONSTRUCTI N LIEN LAW INFORMATION:
DESIGNEkl_ €NGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: (J Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE IDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name: N iT
Address: 1 Address:
City: City:
Zip: Phone: 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 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
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
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]will,in all respects, perform the viork.
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 t ur property. A Notice of Commencement must be recorded and posted on the jobsite
before the fir s tion. If you intend to obtain financing, consult with lender or an attorney before
commenci or recordin our Notice of Commencement.
e of Owner/Lessee/Contractor as Agent for Owner of Contractor/License Holder
ATE OF FLOR / � TATE OF FLORI
COUNTY OF �� L,(tiUr� COUNTY OF
JV
The forgoing instru nt was acknowledged before me The forgoing instrument w s acknowledged before me
this�day of " 20 /9 by this�dam� 2a 1 by
J t�rne_s
Name of perso making atement Name of person aking statement
Personally known r OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
�\`\iiiilll ►Illll/II/1 _ ���\i li 11 flll/j"
NA L. cp
(Signature of Notary Public-State o FIQ (Signature of Notary Public State of Flo yid);• �� UaRr� `.
Cor'§ I1V'n (� (S Commission No. Seal) �s ;
.°
!j • •. Undo '4, �
REVIEWS FRONT ZONIIv�[i �KSA1 • ` ��R PLANS VEGETATION SEATURTL�fillr,'
COUNTER REV » l!lilil�W � REVIEW REVIEW REVIEW
REVIEW �
DATE
RECEIVED
DATE
COMPLETED
Rev.fi/2f17