HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `"► j5 ( Permit Number:
s
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
Residential
Address: ! t 6 e--W.—L. v- �__ A1C+ C'-)-+- L—LA-z- e_ 34 6or k
Legal Description: 1fQ ' e� � L �d 7 55 -
b6 4- - 1,e_ 4 s�. ,
Property Tax ID #: 34ILP 0(ODE) —0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK:
l do C,haA11 0�9�
CONSTRUCTION INFORMATION:
Additional work to be Dej ormed un ert is permit—check all that appy:
IJ HVAC JJ� Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric Lei Plumbing Sprinklers � Generator E Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor.
Cost of Construction: $Tnc
`/ U utilities: _ Sewer 11 Septic Building Height:
OWNER/ LESSEE:
CONTRACTOR:
Name e't-
Name: Jamas Snyder
Address: ►S q6 e— lA �('
Company: Snydees Cooling and Heating, Inc.
City: Lb� �. I -TR State: ir(.
Zip Code: Fax:
Phone No. '9 lo 41 . A'96 9
Address: P.G. Box 2007
City: Fort Fierce 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: CAG18165791#26414
�� .a uc us Vulinkl t LiLriE i,')rza v or more, a KtLUKUt1J Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTI N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: il Not Applicable
Name:
MORTGAGE COMPANY: � Not Applicable
Name:
i Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
i Name:
BONDING COMPANY: ✓Not Applicable
Name:
I Address:
Address:
City:
Zip: Phone:
City:
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, l 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 yo roperty. A Notice of Commencement must be recorded and posted on the jobsite
before the first i ction. you intend to obtain financing, consult with len er or an attorney before
commencing k or r rdinia your Notice of ComrnencemPr�t_
4
of Owner/ Lessee/Contractor as Agent for Owner
e of Contractor/License Holder
ATE OF FLORI
COUNTY Orr Lu yr t—
STATE OF FLORIDA
COUNTY
OF
i The forgoing instru_Ment was acknowledged before me
this dater of 20 /'3 by
I The for Ding instrument w s acknowledged before me
this JQ day of 20/'�l by
�a.m�s � ear
��Q s ( �1 � Q•t�
rson
Name o€ peaking statement
Personally Known �CR
.._
Name of person,paking st ement
Produced identification
Personally Known 1/ OR Produced Identification
Type of Identification
Type cif Identification
Produced
Produced
iI oki 1114i1!!li!►��11
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(signature of Notary Public- State of Flori s) O� iSslpy •••.0
ignature of Notary Public- State of Florida ,••��assroA,'•.
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Commission No,�/1�9/ 0 �4a1) �it
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Ccmission (�#o. ��St;aj�`� a�+�+•
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REVIEWS
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DATE
RECEIVED
DATE
COMPLETED..
iiev. 8/2/17