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Home My WebLink AboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETE© FOR APPLICATION TO BE ACCEPTED Date: J 1 GJ Permit Number: funding Permit Application Planning and Development services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone. (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: I C, OOyL -�� PROPOSED IMPROVEMENT LOCATION: Address: D 14 6,"7fYl Q Legal Description: 1 a ✓l 2.�/ !' T ES r?i�l,` 1 04 7 L-d �-5 3� Property Tax 0 0 ' DO(7 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: 4 i C, Gh lye o�j -- ra+n.6 --"c2- 6 fa0& vrkuvl,� 1 � 5e- ,I z) CONSTRUCTION INFORMATION: Adaroonal work to e e orme un ert is permit-checka that app y: ®HVAC 11 Gas Tank Gas Piping _ Shutters Electric El Plumbing Sprinklers ❑ Generator Total Sq. Ft of Construction: Do Cost of Construction: $ �. s S Ftofof First Floor: _ Utilities: Sewer D Septic QWindows/Doors Roof Roof pitch Building Height: 0WNER/LESSEE: CONTRACTOR: Name Name: James Snyder Address 644 0 A + Company: Snyder's Cooling and Heating, Inc - City: State: Zip Code: Fax: Phone Nd. '773 - 6 7 7- D6'9 9 Address: I'•Q• 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) tE-il:snyderscooling@aol.comMa State or County License: CAC18165791 #26414 •--••--•--••••�•• •ram-.vv ve E��wc� Cl nGa.vPYUCi! IVOifce OF LOrnmencernent is requlreff. SUPPLEMENTAL CONSTRUCTION UEN LAW INFORMATION: DESIGNERIENGINEER: 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: 1 Zip: Phone: OWNER/ CONTRACTOR AFFIDVI T : 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 wili authorize the permit holder to build the subject structure is in which 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 all respects, perform the work in accordance with the approved plans, ine 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 OWNED: Your failure to Record a Notice of Commencement may result in your paying twice for improvement to your property. A Notice of Commencement must be recorded and posted on the jobsite before the tins ction. If you intend to obtain financing, consult with lender or an attorney before cammen or recording our Notice of Commencement. i Lure of Owner/ Lessee/Contractor as Agent for owner Si Lure of Contractor/License Holder STATE OF FLORID J _ STATE OF FLORIDA COUNTY©F_� . 1-�t/U C4 -L-- COUNTYOF The for ping instr ment vas acknowledged before me this day of 20A by The f r mg ins, ent as acknowledged before me this day of 201'1 by cis Name of persop_malcing statement Name of person aking statement Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification Type of €dantification Type elf Identification Produced Produced i 1►11411fl.l1/! \��11 NA L",e �I��i�i� _ �,II111UIHliI//�� ( �� / ♦ gRlitW ,N ...x��•' [Signature of Notary Public -State of FI 'da o �r�f (Signature o Nota Public- State of Flo a R r g i Notary }' .g�� •l�ovaRrN; �•; Comm!ssion NO.G[ 9l V936 = }�� In commission = No. .. ) • �z89� SABRINA L. BLACK z •ti AX289 as2 �i�`_': SABRINA L. BLACK + d e 4' 1%�'ydu REVIEWS FRONT ZONtNC,''�i'OG �41 r 1 PLANS VEGETATION SEATURTLE��i1Qb♦♦ f COUNTER REVIEW y; 1 �♦ REVIEW REVIEW REVIEW �1 #RUA EE DATE I RECEIVED ©ATE CQM PLETED Rev. 8/2/17