The URL can be used to link to this page

Home My WebLink AboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETES} FOR APPLICATION TO BE ACCEPTED Date: ` I U G Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1555 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Ac' r PROPOSED IMPROVEMENT LOCATION: Address: 03 LMQ4 -Q Legal Description: 6'e' 4cc ~ �D� P- Property Tax ID #: - j 00Q . 6DD -S Lot No. — Site Plan Name: Block No. Proiect Name: Setbacks Front Back: Right Side: Left Side: DETAILED .DESCRIPTION OF WORK: ID CONSTRUCTION INFORMATION: AdditionalworKtobepertormed under isspermit-check all In appy: HVAC I� Gas Tank Gas Piping _ Shutters a Windows/Doors Electric 0 Plumbing QSprinklers El Generator Roof Roof pitch Total Sq. Ft of Construction:_ Cost of Construction: $ 5 Ft. of First Floor - Utilities: _ D Sewer [I Septic Building Height: OWNER/LESSEE; CONTRACTOR; — Narne W � Name: James Snyder Address: C� o n0 t Company; Snyder's Cooling and Heating, Inc. City: pY-�' �i . �!u-� �-+ �� State: Zip Code: Fax: c,� Phone No. —7 p J� i j a J nS Address: P.a. 2ox 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: CAC1816579 1 #26414 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCT! LIEN LAW INFORMATION: DESIGNERJENGINEER: _ _ Not Applicable MORTGAGE COMPANY: � Not Appiicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE 5IMM PL.E TITLE HOLDER- � Not Applicable BONDING COMPANY: L of Applicable Name: dame: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNED/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ao the worK anti insLaiiatiun a�, if]ui[.tl LCU. 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 prohibitsuch 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 Si- 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 }obsite before the firs potion. If you intend to obtain financing, consult with lender or an attorney before rr.onr;r.r nrI/.�r rdrnrrlinrr ti,n, ar Nlgfie'a of C-nmm,=nf PmPnt_ 10�11 i i e of Owner/ Lessee/Contractor as Agent for Owner7STATE e of Contractor/License Bolder VATE OFFLORI f � f �� c.> L� OF FLORf A TY ©F COUNTY OF The forgoing instrum nt was ack owledged before me going instrument was acknowledged before nee this day off - ZQ-j JA by this day of ��hy Name of persor��aking statement Personally Known ✓ OR Produced Identification Name of person making statement Personally Known ✓ OR Produced Identification Type o entification Type of Identification Produced Produced w X5?f"3'�L 6'[/�""� �i1N1111i1f!lltf, IRldl¢ gnature of Notary Public State of Florida )``�' WAS {Signature of Notary i'ublic-State of Florida) "NM� Commission No. D Q�CO a .•. Cission No. q>(Oc1 S,F'. � •. x ,",CK = i SABRINA L. BLACK = ;o c��• REVIEWS FRONT �rqjp!15 VEGETATION IOIV SEATURTLE �y COUNTER REVIEW �� A�'KMB`. 0 J�PIEW REVIEW REVIEW DATE STAMuv1� 11l1!llilttllll�ti� � !!1l111/11 RECEIVEDI DATE COMPLETED Rev. SIZ/17