Loading...
HomeMy WebLinkAboutYeitter - 7206 Deland Ave SLCALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: l 1 13 )a oc'c Permit Number: cc�ru>Iw-r �r Building Permit Application Plonning and Deveiopment 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:Y L� .PROPOSED IMPROVEMENT LOCATION: Address L9 te l�,+n II • i' r QG�21 ' (• c� � 5r_� Legal Description: L W BO O t i' 1 Q d J! V i,2 -7 T Property Tax ID 4: �r�1 � � � �� 0� d �D s Lot No. / Site Plan Name: Block No. /s Rroiect N;Ame: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional wor to be Derformedunder t is permit c ec a app y: ®HVAC LJ Gas Tank Gas Piping_ Shutters a Windows/Doors nElectric Plumbing Sprinklers Q Generator 11 Roof Roof pitch Total Sq. Ft of C) Construction- -7 o Cost of Construction: $ + �� Sq. Ft. of First Floor: _ Utilities: D Sewer E Septic Building Height: OWNE,RJ/LE,S�SEE: CONTRACTOR: Nam Cb Name: James Snyder Address: b 2-la Company: Snyder's Cooling and Heating, Inc. City: State: Zip Code: ZA4 qS i Fax: Phone No. -7 Lo I � • � aS 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: snyderscaolsng@aol_com State or County License: CAC1816579 ! #26414 If value of construction is 52500 or more, a RELUKUEu Notice Or commencement is requireu. SUPPLEMENTAL CONSTRUCTI DESIGN ERIENGINEf R: Name: Address: City: Zip: Phone FEE SIMPLE TITLE HOLDER: Narne. Address: City: Zip: Phone:_ LIEN LAB! INFORMATION: C" .Not Applicable State: Not Applicable MORTGAGE COMPANY: Name: Address: rity- Zip: Phone: mot Applicable State: BONDING COMPANY: %- Not Applicable Name: — Address: City:_ 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 swhich is in tructure. Pleasecco ith any sult with your Hlom©Ownners Association rne Owners andsociation rr�ev rules, your deed oraws or and o any restrictionsithat wh which may arestrict or pply. such In consideration of the granting of this requested permit, I do hereby agree that I wild, 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 to ur property. A Notice of Commencement must be recorded and posted on the jobsite before the first pecti . If you intend to obtain financing, consult with lender or an attorney before commencin ork a cording your Notice of Commencement. of Owner/ Lessee/Contractor as Agent for Owner ��id> e of Contractor/Lieense Holder STAVE OF FLORI[7 v STATE ATE OF FLORt COUNTY OF � Lt vEy COUNTY OF ��� �— The forgoing instru nt was acknowledged before me this day of 2D0P hY A 6A, Name of perso making statement Personally Known OR Produced Identification Type of Identification Produced {Signature of Notary Public -State of FI Commission No.l6694gy6aA SABRINA L. BLACK .`'iNA � l;�co�r�e���'• z = � zsss62 �. AudhE REVIEWS FRONT ZONIN� ���•� COUNTER REVIEW 114/ j DATE ! � RECEIVED DATE COMPLETER Rev./2/27 The ing instrument was acknowledged before me thisfor Ddayo€ Qom— 20 by J__C'�� 61_-� A -e-� Name of person making statement Personally Known OR Produced Identification Type of identification Produced Signature of Notary Public- State of Florida) �. • t`roWiSs�o• ammission No U a o : S u SBRINA L_ BLACKs�°� : o2a98sa r A PLANS EA REVIEW VEGETATION REVII=W 5 REVIEW ••il