HomeMy WebLinkAboutbuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. `-�' �� i Permit Number:
-
a
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2380 Virginia Avenue, Fort Pierce FL 34982 /
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential 5f
PERMIT APPLICATION FOR: okoiojv(� e,
PROPOSED IMPROV ENT LOC TION:
Address: I.P e_S
Legal Description: w,DpA(.Q cwK, w&1 0- 9 j 1 K 115,�-
Property Tax ID #: ��J �� �LP �, � b 1 r�r � ' ! �_ Lot No. `)_
Site Plan Name: Block No- i 15
Project Name.
Setbacks Front Back: Right Side: Left Side:
CONSTRUCTION INFORMATION:
Additional work to be nertormed un er t is permit- check a appy:
HVAC Gas Tank F_, Gas Piping _ Shutters L ] Windows/Doors
Electric Plumbing OSprinklers L—lGeneratorRoof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4� bb
V
Sq. Ft. of First Floor: _
Utilities: 0 Sewer ElSeptic
Building Height:
OWNE LESSEE:
CONTRACTOR.
Name '.-
Name: James Snyder
Address: d
Company: Snyder's Cooling and Heating, Inc.
City: F—V . State: ill.
Zip Code: , ;14�iS j Fax:
Phone No. —77d 3 a I
Address: P.O. Box 2007
City: Fort Fierce State: FL
Zip Code: 34954 Fax: 772-600-4811
Phone No. 772-828-3377
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: CAC18165791 #26414
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requtrea.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worft ana msranauun as
I certify that no work or installation has commenced prior to the issuance o` 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 com ict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Dome Owners Association and review your deed far any restrictions which may apply.
In consideration of the 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 inspe n. u intend to obtain financing, consult with lender or an attorney before
commencing wor ren our Notice of Commencement.
erl Lessee/Contractor as Agent for Owner
%SOF FL
NTY OFnj v+ e_
The forging instrume was cknowledged before me
this qday of , 2a��f by
Name of perso aking s tement
Personally Known OR Produced Identification
Type of Identification
Produced . 1111WAA..
11
�� `� SSfQ�rF�.•C�,f.i
Signature of Notary Public -State of FZrida
Commission No. ►�•.� #GGZSgas2 .
.�e�•
� , ."bliUndeO.�`
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REVIEWS FRONT 7[ONiNG /��i/ R
COUNTER I REVIEW 1 *RV EW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Contractor/License bolder
&TATE OF FI.ORI !�t
COUNTY OF,
The for ging instrument was acknowledged before me
this day of ZQ1-9 by
Name of person making sta ement
Personally Known/ _ OR Produced Identification
Typeiof identification
Produced
iature of Notary Public- State
mission NoGG�79 p(pa
ARS � f
* : :4 147
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PLANS I VEGETATION SEATURT
REVIEW REVIEW REVIEW
PCG289862