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Home My WebLink AboutBUILDING PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: C Permit Number: .J I A ' - - Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Mc, cy-+ f U Pnr L yPEL PROPOSED IMPROVEMENT LOCATION:: Address: '1'� �r✓L }J�i" JE Legal Description: Lck2WcSZs� �' (,lxr t ��' il< 1 7 Lz4-3 PropertyTaxlD#: 1 ��1' - �© - �� - '� Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: G i�aM O (�; � �—� k� �-�A1 CONSTRUCTION tNFORMATION Additional work to be nerformed un ert ispermit—check all ®HVAC Gas Tank ❑Gas Piping that apply: L Shutters Q Windows/Doors ❑plumbingSprinklers Electric � Generator E] Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ ®• o� utilities- Sewer D Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name L-L. Name: James Snyder Address: i rwyZ Company: 5nydeft Cooling and Heating, Inc. City: LAJ i _ CC State: Zip Code: -i -3 q q S !f Fax: Phone No. ilia - -7®— 'g- I 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: snyderscooling@aol_com State or County License: CACIS16579 / #26414 it vdiuc ur cvnbtrucuon is,PznVV or more, a RE UKDtf7 Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTI N LIEN LAW INFORMA T ION: DESIGN ERJENGINEER: 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: 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 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 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. 3 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 I WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite II before the first' pe on. if you intend to obtain financing, consult with lender or an attorney before commencin orrecordiag.your Notice of Commencement_ re of Owner/ Lessee/Contract-or as Agent for Owner i pure of Contractor/License Holder TATE OF FLORI COUNTY OF �. STATE OF FLORIDA COUNTY OF The forgoing instr nt as acknowledged before me this day of 26LC by The forgoing instruJj�en was acknowledged before me this day of V 20Jq by Name of Person king -statement Name of person aking sta ement person Personally Known ✓ OR Produced Identification Persona€ly Known Produced identification Type of Identification Type of Identification Produced Produced IMA / (Signature of Notary Public- State of Florida } �0t 0111111011 {Signature of Notary Public- State of FloridaIN. �� ? .. • • -• •.' low /j/ Commission No, ' ? *\ D[t��C (5e SSiRN•'•. .Q µ mission No. ` I a Pa�� 0 UARy2a ; S�=iBRINA L. BLACK =-•�`�``, a� � =o �o �2as $ABRIfVA L. BLACK REVIEWS FRONT ZONING ' P .t.,P �5 VEGETATION SEATURTLEr�� •,200'� s� COUNTER REVIEWl�W REVIEW i REVIEW DATE RECEIVED /i/' ��C S��tJltilp11Hi1 �� l DATE COMPLETED Rev.8/2/17