HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I :3 161 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Prone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT_APPLICATION FOR: A 0-JkJ�
PROPOSED IMPROVEMENT LOCATION:
1
Address:
}} J ` -� P 'vc k 7 , 1-6
f ��
Legal Description: �fl a � P�.�i t�Q�i �� f�� �'"�`� -7 q
Property Tax ID #: l) S - b��j to ' Lot No. -2U
Site Plan Name: Block No. q 7
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
i4C' �.1� 5'� cam'- �� [=�.� u Ke,
CONSTRUCTION INFORMATION:
Additional wbr to jerformed under this permit— check all thal apply:
Z HVAC L =i Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator D Roof Roof pitch
Total Sq. Ft of Construction::
Cost of Construction: $ `�` r
i
S Ft. of First Floor: _
Utilities:11 Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
JJ
Name
Nape: James Snyder
Address: 6DAY .5U-v-)5Q-t C� �
Company: Snyder's Cooling and Heating, Inc.
City:. I✓l . P ice_ State: `{
Zip Code: (3���a Fax: r'
Phone No. 77A - �� 9 - Y,21
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: CAC1816579 i #26414
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
ENa
PPLEMENTAL CONSTRUCT19 LIEN LAIN INFORMATION.
1laNER�EN�INEER: Not Applicable MORTGAGE COIVIANY: KNotpplicable
me: Name:
dress: Address:
City: State: City: State,
Zip: Phone Zip: Phone.
FEE SIMILE T1TLEl HI1LDER: _ Not Applicable BONDING COMPANY: Applicable
Name: I 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
structurin e. Please consult any
applicable
iome Owners Associa ion and review bylaws
ur deed or any r restrictions s which may apply -
In that: may restrict or 'bit such
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 5t. 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 yo property. A Notice of Commencement must be recorded and posted on the jobsite
before the first i ecti . If you intend to obtain financig, consult with der or an attorney before
commencing rk cordin our Notice of Commencement.
of owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF S .
The for oing instrument was acknowledged before me
this I day of 20 by
Name of person making statement
Personally Known ✓ OR Produced Identification
Type of identification
Produced
111411H1II
(Signature of Notary Public -State of Florida
SAlF2INF�d�lgLaaeal}•�4°,�Ru•c
Commission No.
a.
REVIEWS FRONT ZONIIVCTy`.��,,i�"
COUNTER REVIEW ��i,pCI,.,R� . __
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
of Contractor/License Bolder
STATE OF FLORID#
COUNTY OI" _CSU� e—
The for oing instr t was acknowledged before me
this 1,day of J 201A by
Name of personp�aking statement
Personally Known ✓ OR Produced Identification
Type elf Identification
Produced
R INA L.
ire of Notary Public- State of Florida
sionnNoW-;2 62 #'�
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i 9 ' �2 �A 289gg2
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VEGETATION SEA TURTLE
r REVIEW REVIEW R