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HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ! Permit Number: i M!� 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)462-1579 Commercial Residential PERMIT APPLICATION FOR: 4C CA'1(b'1 PROPOSED IMPROVEMENT LOCATION: Address: NW-, (e5 Q ITY - Legal Description: P u -eC LV, q Lc i Property Tax ID#: '25 10-Soo` 01 L�V - 5 Lot No. � Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: AL �(txl cxbna r7 Z/ !O CONSTRUCTION INFORMATION: 71 Additional work to be nerformed under this permit c ec a t t app y: ®HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Electric Plumbing O5prinklers Generator i�l Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ 1 Utilities: Sewer El Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name�` l,r, ,a� YY IYlr"Z ,Cx.0- A' Name: James Snyder Address 93i�,- iN_ f_S 06L Company: Snyder's Cooling and Heating, Inc_ City: Qt toe` State: Address: l'fl Box 2(JD7 Zip Code:_�5UCl`tS Fax: City: Fort Pierce State:FL Phone No� 30-7`C 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 from the Owner listed above) State or County License: CAC18165731##26414 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: _ State: Zip: Phone Zip: Phone: PEE SIMPLE TITLEHOLDER: Not Applicable 13ON©ING COMPANY: Not Applicable Name: Narne: Address: Address: City,-- --- 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 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 l 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 non-residential use WARNING TO OWNS •Your failure to Record a Notice of Commencement may result in your paying twice for improvements toyoldr erty. A Notice of Commencement must be re_cgrded and posted on the jobsite before the firs pe on. if you intend to obtain financing, consult w e r or an attorney before commend orkXr recording our Notice of Commencement. S` t Owner/Lessee/Contractor as Agent for Owner re of Contractor/License Holder S OF FLORIDA ATE OF FLORIDA NTY OF �. �IJ\ L I COUNTY OF ca m The forgoing instru t was ac nowledged befor me The for Ding instru t was cknowledg d efore me this�day of 01VCJiti 20A by this day of �/ 20 by Name of person aking statement fume of person aking statement Personally Known V OR Produced Identification Personally Known >�OR Produced Identification Type of Identification 'type of Identification Produced Produced 11itUNAItI!/ 1/2Z AN .., {Signature of Notary Public-State of No a ••ION ;f' �� {5gnatur t�,`�ft ry Pub icl-SStta e of Flor���+��o��'•r�' SABRII\iH�}S�D� •G1RY ° .. , ►t1f<! Commission No. Z (5 1 commission No. -�: 28988Z y vGG 26M2 Z !y .•y oo ` l ifed nden'�; ti0 REVIEWS FRONT 70N11��$,'¢1 • (s ue €'LANS VEGETATION SEATURTL�'�ij COUNTER REVIE1N��i��� llft \\��� REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.S/2/17