HomeMy WebLinkAboutBuidling PermitALL APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. Z-1 l Permit Number:
AN- 00!
`- -
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: 4-1 G lig K 1
PROPOSED IMPROVEMENT LOCATION:
Address: I
Legal Description: �A, owe i Y.0.V ��Ta�j �� 1 81 V,
aAAJ- t1 . //";1,6 -P+ b_�- l_ b -�- C7_7�"7 . y �_
Property Tax ID #: - ' 0 • 3 Lot No. Sto
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
f
Haamonai worK to oe
ZHVAC
errormecr
Gas Tank
unser tnis permit- cnecK all ar apply:
❑Gas Piping Shutters
a Windows/Doors
Company: Snyder's Cooling and Heating, Inc.
,
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)
_
State or County License: CAC18165791 #26414
Electric Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: 11_
Sewer 1-1 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name C) E. (' .
Name: James Snyder
Address's ]1,S P; / _4 -hems D Y •
Company: Snyder's Cooling and Heating, Inc.
City: i aArState:
Zip Code: c ,)q `� g� Fax:
Phone No. 7"70 qz-u • b bR;?
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: CAC18165791 #26414
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
FDES1GNER/E:NGINEER:
ETAL CONSTRUCTI N LIEN LAIN INFORMATION:
_ Not Applicable MORTGAGE COMPANY: lot Applicable Name: Address:
City: State: Cite: State:
Zip: Phone Zip: Phone:
EEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Dame:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFF1DVl 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 County makes no representation that is granting apermit will authorize the permit holder to build the subject structure
swhich is in tructure. Please consult with th any pyoicable Home ur Home Owners Association and ociation rreview your dws eed fur any restrict -ions nd covenants that which may °a prl Mbit such
Y PR Y•
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 pians, 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 posted on the jobsite
before the first in ect- n. if you intend to obtain financing, consult with lender or an attorney before
commencing rk r ecording your Notice cif Commencement.
of owner/ Lessee/Contractor as Agent for Owner
DATE OF FLO€, - '
COUNTY Of - .
Thefor oing inst u ent was acknowledged before me
this day of,
20J_9 by
Name of person aking statement
Personally Known OR Produced Identification
Type of identification
Produced Xy��ti1191N�tf!!/lf
(5 VM pjAoL r u,)NjE- Mate of F1d dfd
S"
Commission ?ate
s dthru t5.•.
ofO \\
REVIEWS CFRONT IOUNTER ROVINGEVIEW � �
MATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Contractor/License Holder
STATE OF FLORIDA I1 -
COUNTY OF ( 15 f LL4, e r
The fo�r�Ding instrume t was acknowledged before me
this o�`I day of 2019 f by
blame of persoaldng statement
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
C—N A
ature of Notary Public- State of
sAl�lzlNL. ��qg�a
mission No.Sga 1)
.. .�
�v 0 a� w
•�� .�LO
:• •a
-09 d98
i GA •' ���Pn .. G�
/i. � � r. ndarevtite`•5•• _.
PLANS I VEGETATION I SEA TURT
REVIEW REVIEW REVIEW