HomeMy WebLinkAboutBuilding PermitALL APPJICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
J._s;
Building Permit
Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
x
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITAPPLICATION FOR: 4IC
6,e- 42Zh- L; Y-e
PROPOSED IMPROVEMENT LOCATION:
Address: 56 q I!1
Legal Description: 212r roO
Q- 44vbe—
Property Tax I D #1•:1y 6 35 - COD • S � Lot No. cR l 7
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
42-Je-t/-
CONSTRUCTION INFORMATION:
Additional wor to be e ormed un ert is permit-c
®HVAC LJ Gas Tank []Gas Piping
ec a t apply:
Shutters Q
Windows/Doors
Electric ❑ Plumbing Sprinklers
Generator Roof Roof pitch
Total Sq. Ft of Construction:
S Ft of First Floor:
Cost of Construction: $ -7 a9, "� Utilitiest
Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Nameff) e,
Name: Jaynes Snyder
Address:
Company: Snyder's Cooling and Heating, Inc.
City: d ckl=:� State:.
Andress: P.O. Box 2007
Zip Code:. 3 S HL4 S Fax: f`-'
City: Fort Pierce State: FL
Phone No. ?-1 a . u (p q -. I I i-1
Zip Code: 34954 Fax: 772-600-4811
E-Mail.
phone No. 772-528-3377
Fill in fee simple Title holder on next page ( if different
E-Mail: snyderscooling@aol.com
State or County License: CAC1816579 I #26414
from the Owner listed above)
If value of construction is $.2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable
Name:
BONDING COMPANY, Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER) CONTRACTOR AFFIDVIT: Applications 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 I will, in ail respects, perform the viork
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 ur property. A Notice of Commencement must be recorded and posted on the jobsite
before the first - pecti n. If you intend to obtain financing, consult wi lender or an attorney before
commencin ori< recording vour Notice of Commencement. � /
One owner/ Lessee{Contractor as Agent for Owner
i- re of Contractor/License Holder
FLOR Q ([
COUNTY OF L�(it i.i
STATE OF FLORi �1 _
C--1.c- a�
��
COUNTY OF
The for oing instrum nt w s acknowledged before me
The forgoing instrument wa acknowledged before me
this day of `- 20� by
this day of �¢�p by
i Name of persor�.Fnaking s atement
rr�f
I Name of person making statement
✓
Personally Known OR Produced Jdentification
Personally Known OR Produced Identification
Type of Identification
Type df Identification
Produced
Produced
r
i
r
`-` 11N1i111lIf0�j�/
(5ig a#ure of Notary E ub1' ,fs to of Florida )`\\��IS�gRINA L, Q X
(Signat�aA �l r� PLubg 5)ktof Flori P $sioN •,, �
Commission No#�q$ly� {S��} .•'Qow)ARkntisslgy•••
mission No. �s �•'�°RU�RYVo
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DATE
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DATE
COMPLETED
Rev. 8/2%17