HomeMy WebLinkAboutKeaton - 1207 Parkland Blvd. SLCALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -1 [`3D C I C, Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Reguiation Division
2300 Virginia Avenue Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: AG
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: 1Kvex'JaA RCk-t " f eb h"��-5 -�' L� � � C.k_ c7 L0
-E Q_,�d_ oLj) L•p 4"S
Property Tax ID#: 341CDq -7D,3 "01N7-DOD -J - Lot No. S
Site Plan Name: Block No. �3
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
ILQ
CONSTRUCTION INFORMATION:
ACIditional work to jee orme un ert ispermit—c ec a appy:
RHVAC L_{ Gas Tank Gas Piping Shutters a Windows/Doors
11 Electric ❑ Plumbing 05prinklers Generator E]Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor: _
Utilities:Sewer ❑Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: James Snyder
Address: l aD rl-.r 14,1 d�LU
Company: Snyder's Cooling and Heating, Inc.
City: + i Lg c.t✓ State:
Zip Code: '&L Fax:
Phone No. --?A -_c2D [ - 1 D D `J
Address: P-0- 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)
rs.. I. _.0 _ _ A---
E-Mail: snyderscooling@aol.corn
State or County License: CA01816579 / ##26414
----- _. ..«........., y�..vv vs a V,C, 0 nzt-w YIJrU IVU{I6:e Ui Lammencement is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESiGNERIENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Dame:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 conflict 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 of the granting of this requested permit, I do hereby agree that 1 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: Vow failure is Record a Notice of Commencement may result iDyour paying twice for
improvements to your ope y. A Notice of Commencement must he recorde d posted on the jobsite
before the first ins do you 'intend to obtain financing, consult with le er oy�an attorney before
commencing w or cording your Notice of Commencement.
Owner/ Lessee/Contractor as Agent for:;OThe
actor/License Holder
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Fforgoing
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The forgoing instrume was acknowledged before
this 9 day of J 24jJ by
um t was acknowledged beforeme
this a0day of 2Q by
Name of perso making statement
Dame of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of identification
Type dF Identification
Produced
Produced
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Rev. 8/2/17