HomeMy WebLinkAboutCapitano - 5675 Sunberry Cir FPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: O �a I f Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential i'
PERMITAPPLICATION FOR: A 1 C fl� ou_- - U�e U
PROPOSED IMPROVEMENT LOCATION:
Address: _. 5%-7 S -5u-nbex 'r �-_V P) Pxce_, _F l . ZZ-05V
Legal Description: L i- T"17 -Pi no 5hc)rP_6pha5 el —T—w D J'D-' q S Q r
Property Tax ID#: ��aj 50-� - 017b -C)ODy-7 Lot No. ` S0
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: j
Ad C_ c4-cz=,.,�C' 01,_+- L') I, e-P-C� L'Y_"' p
r,,,A ,, _5 �,n 1 1 q 5 .,,v- t>� i
CONSTRUCTION INFORMATION:
Additional work toe De ormed under tis permit —check all apply:
j
�HVAC i J Gas Tank Gas Piping _ Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
i
Total Sq. Ft of Construction: Sq, Ft. of First Floor:
l
Cast of Construction: $ ',7663Q utilities: F_ Sewer ❑ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name u- I ► GLrI
Name: James Snyder
Address: 6(,P 15G c5L -nbe.Irr4 Cii i—
Company: Snyder's Cooling and Heating, Inc.
City: -+• Y ► t'v C"� — State: F-1 -
Zip Code: 3 kf6t6 l Fa
Phone No. q c)r��� c S�
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! snyderscooiing@aoi.com
State or County License: CAC18165791 ##26414
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: � Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
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 isscance 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 name Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Horne 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 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 propeUv. A Notice of Commencement must be recorded and posted on the jobsite
before the first iris do you intend to obtain financing, consult with le er or an attorney before
commencin w or rdin our Notice of Commencement.
ownerf Lessee/Contractor as Agent for owner
n of Contractor/License Holder
OF FLORIDA J
NTY OF—s 57 • Ic`"`U+ 2-- _
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TATE OF FLORIDA J� -
COUNTY OF � � � C•
The for ping instru ent was ackno [edged before me
this day of U. ]t, 201 -!'-1 by
The forgoing instru��ent was ackno ledged before me
rrpp
this c9L I day of C tW 201q by
Name of perso making st tement
Personally Known OR Produced Identification
Produced epe of lddentification
•�'e/ �r
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(Signature of Notary Public-
Notary
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'n4Q S�taot�e of FI ,IL ndeu F��� �'�•
Name of person along stzrtement
Personally Known OR Produced Identifi11a E
Type�`,��ti�R1NA/!i/f���� Prod aed identification �\\\�`��� SP,6RJ,,q /
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SABRII`IAL.BLAC< �e.ComASXl
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mission No_ �°e
H7E OF�'
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/ t7