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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: .. 94� Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Prone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMiTAPPLICATION FOR: W0""Dkf' P&f Like — PROPOSED IMPROVENWNT LOCATION: Address: I( 1 N Vace, ✓!. 3 g pEivw.. f�� �i-- W,5b, —� a0/ Legal Descri Lion: Property Tax I ##: �Q Site Plan Name: Project Name: Setbacks Front Back: D( L.Q -7 ot)C-)- C Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Ac- chav\ ) L� UUJ __ (-A i�� r 14 6�,e-v tk) .A Yew hao- J Lot No._a9 Block No. Sip CONSTRUCTION INFORMATION: A dditional war to e e orme under ispermit -checka t appy: RJHVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors 11 Electric 0 Plumbing Sprinklers ❑ Generator ❑ Roof Roof pitch i� Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction. $ �=,�Lo.Utilities: _._ Sewer El Septic Building Height: OWN/LESSEE: CONTRACTOR: Name bf evName. Jarnes Snyder Address: I( I Company: Snyder's Cooling and Heating, inc. City: state: F I • Zip Code:. 3 qq 2 - Fax: Phone No. is b I y S ?y E-Mail: Address: P.O. Box 2007 City: Fort Pierce State: FL Zip Code: 34954 Fax: 772-600-4811 Phone No. 772-528-3377 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: snyderscoofing@aol.corn State or County License: CAC18165791 #26414 ......�.,,­ W — cr 1=1 a ret3nee Oii.onamencement is requirea. G SUPPLEMENTAL CONSTRUCTION LIEN LAll111 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: _ of Applicable Name: darner Address: Address: City: City: zi p: Phone: 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 wort; or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit vvii1 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 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 t our property. A Notice of Commencement must be recorded and posted on the jobsite before the fir nspec - n. if you intend to obtain financing, consult with lender or an attorney before commend work recordin our Notice of Commencement. e of Owner) Less eeJCantractor as Agent for Owner pure of Contractor/License Holder ATE OF FL Rl STATE OF FLORID I COUNTY OF - -....` COUNTY OF �� L c.-r � The for�pin instrum nt wa acknawled e before rrie this d "'! day The forgoing instru nt was�acknowledged before me i� of i of 2� by this day of �J Zt) by J ass e-v J elm e `S C5 - r� eAr , Name of person along statement ,1 Name of person making statement Personally Known OR Produced Identification Personally Known ✓ OR Produced identification Type o; Identification Type if Identification Produced Produced 9 4 � ' pure -oeL -"m%1111i11II (Signature of Notary Public- State of Flor't`� \��SA RI A �� // �s (Signature o€ Notary Public- State of Florida }°���� ,• SoABBrR/At, / Commission N©GGA. `Ui_V�; Se cfl o�;'���`r aRr Commission Noe I (L�� �a'�l•'••�F�irgp�oy SABIRINJA L. e A �`F``0e ••� �_ _� SABRINA L. BLACK �Mg: RIVIEWS I I FRONT •� ZONe PEPVISO.R y ,—Z PLANS 1 VEGETATION SEA TURTL40 �'�i �O •A' YSPWOV� .• COUNTER RE"V1L G -"� .N'�' n '�QREVIEW REVIEW REVIEW • Eft :e� '•p DATE i RECEIVED //iPAtE°° DATE COMPLETED Rev. 812/17 l � -._