HomeMy WebLinkAboutSofen - 528 Thames Bluff RidgeALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ! Permit Number:
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441�11 11 111111111111 .. .1 oil 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
P E R M IT AP P LI CATI 0 N FOR: A- tC, chaVIA2 OJ - Li Ke -6"( L; V_e_
I PROPOSED IMPROVEMENT LOCATION: Q
Address:
Legal Description: _i i5q+ Ga_Q_ ,_L,5 l s U'n
Property Tax ID #k: I O - �� - bbq �bfl Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: i
C-� off" K
CONSTRUCTION INFORMATION:
Additional work to be nertormedunder t ispermit— check a11 appy:
IJ HVAC L �J Gas Tank E] Gas Piping _ Shutters a Windows/Doors
I� Electric Plumbing OSprinklers Generator 1=f Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ ,L J' ,�_- Utilities: _ Sewer 0 Septic Building Height:
OWNERt LESSEE:
CONTRACTOR:
Name QJV if ev1
Name: James Snyder
Address: k
Company: Snyder's Cooling and Heating, Inc_
City: 1 State: �.
Zip Code: 3 q g , Fax: —
Phone No. 77a - I - 3-7 6P3 - -
E -Mail: `�
Address: P.O. Box 2007
City: Fort Pierce State: FL
Zip Code: 34954 Fax: 772-600-4811
Phone No. 772-528-3377
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: CAC1816579 J #26414
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI L1 N LAUV INFORMATION:
DESIGN ERIENGiNEER: � Not Applicable MORTGAGE COMPANY: � Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
[FEE SIMPLE TITLE HOLDER: _ Not Applicable BONOIIVG COMPANY: Not Applicable
ame: Name:
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 con lict 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 ofthe 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 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 your property. A Notice of Commencement must be recorded and pasted on the jobsite
before the first ins ec Ion. If you intend to obtain financing, consult with 1 oder or an attorney before
commencing w cq Vecordin our Notice of Commencement.
Owner/ Lessee/Contractor as Agent for Owner
OF FL7O
NTY OF �.-1`'` �.+t-
The for €ng instr ment was acknowledged before me
this day or r; 20 I q by
�.►m e_5
Name of peaking statement
Personally Known rsonj�✓ OR Produced Identification
Type of identification
Qrnela irnri llil{11/111//
(Signature of Notary Public- State of
SA B IRINA L. Wfi g6
Commission No.
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Contractor/License Holder
�fE OF FLORIDA
LINTY OF_� t
The forping instr ent was acknowledged before me
this�day of .+ Zfl rl by
Jas -
Name of perso}a making statement'
Personally Known �Y OR Produced Identification
Type of Identification �,1�111t11iSA8f��f
Produced ��\� ,%;
0' ,••�i�Co�ist/s' 9 d�
bl-c- se of FMF? Iij 'tb—'
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_fornmission No-C3"�tuzm
a .�
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' 1�VISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW