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HomeMy WebLinkAboutDurham - 8816 Bally Bunion Road SLCALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �IJi Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ✓ PERMIT APPLICATION FOR: l� 1CW1 � PROPOSED IMPROVEMENT LOCATION: Address: ICY aJ Legal Description: GCS Property Tax ID #: c My -&on — OODF , 006 Y Lot No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Block No. DETAILED DESCRIPTION OF WORK: i Additional work to be Dertormed under this permit— check all tnat apply: ❑Gas Piping Shutters ❑ Windows/Doors HVAC Gas Tank _ Electric ❑ Plumbing OSprinklers ❑ Generator LJ Roof Roof pitch Total Sq. Ft of Construction: q -7 5 Ft. of First Floor: Cost of Construction: $ 1 Utilities: _ Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name 0�— LAV Address:JP IA-n Name: James Snyder Company; Snyder's Cooling and Pleating, Inc. City: Y 5�� �--� State:r. `f'[� Zip Code: Fax: — Phone No. r7-7 Address: P.O. Box 2€i07 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.corn State or County License: CAC18165791 #26414 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Fme: MENTAL CONSTRUCTI N LIEN LAW INFORMATION- RJE:NGINEER,: _ Not Applicable MORTGAGE Ct�MPANY: � Not Applicable Name: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not ApplicableBONDING COMPANY: _Not Applicable Name: Name: ,Address: 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure struchurenPlease consult w thpyourHome Oble wners Association and Association ewyyour deed s or or any restrictions venants that: which may arestrict orpply Obit such 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:pe?W?n. ur perry. A Notice of Commencement must be recorded and posted on the jobsite before the firs if you intend to obtain financing, consult wi'lender or an attorney before commencin orrecordin our Notice of Commencement. owner/ Lessee/Contractor as Agent for Owner JE OF FLO LINTY OF The forgoing instrument was acknowledged before me this day of 20J_q by Owe gw Name of Perso alcing statement Personaily Known OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Ca�ii�tips° lV"o: L. BLACK REVIEWS RECEIVED DATE COMPLETED Rev. 8/2/17 FRONT ZONI COUNTER REV11 Contractor/License holder SPATE OF FLOR1D.A4 COUNTY OFL'` The forgoing instrument was acknowledged before me this 3�1 day of __. 20�J'l by __ —I J JL 40A/ Name of person making statement Personally Known >/ OR Produced Identification Type of Identification Produced lAlAt �4 APB.......•. C,�� Signature of Notary Public -State of Florid` .•&WA.s5!0ti � . SABRINA L. BLACK n�r� a ARY i i (Sea���� zzo��s; �mmission No. _ 0 . x MG 289862 O+• B ��` •+ �� a •.D6�. ed thN y��Py • r ii S© LANS VEGETATION SEA TURTLE��i�r REVIEW REVIEW REVIEW ,�/I ,.......�..iH�\�\