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HomeMy WebLinkAboutBuilding Permit ApplciationALL APPLICABLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,1 cD I Date: ( 1� D J, 0 Permit Number: _ l s Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34952 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: A- c- Ch -P-zw L Ke_- E PROPOSED IMPRO EMENT LOCAT ON: Address Legal Description: (.j a cd - Le Property Tax ID #:13 D1 - L01 P lab . ?)DO Lot No. 7 Site Plan Name: Block No. 1/9 Project Name: _ Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: I A I C_' CY0A'-)J ' _ U �'e_ *av- G �� CONSTRUCTION INFORMATION; Additional work to be nertormedunder this permit - c ec a appy: ZHVAC L1 Gas Tank DGas Piping _ Shutters Windows/Doors FlElectric © Plumbing Sprinklers Generator El Roof Roof pitch Total Sq. Ft of Construction: $ -7-76 a Cost of Construction: � , S Ft. of First Floor: Utilities: —Sewer HSeptic Building Height: OWN /LESSEE: CONTRACTOR: Nam GL_ 4uv Name: Jaynes Snyder t� Address: v u &JI/ K . �� Company: Snyder`s Coaling and Heating, Inc. City: a . 4 e'v'e State: . Zip Code: (p1A Q Fax; Phone No. •.J� ]J Address: P.O. Sox 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: CACI 816579 l #26414 if value of construction is $2540 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTI N LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone State FEE SIMPLE TITLE 'HOLDER: V Not Applicable Name: Address: City: Zip: Phone: Name: Address:. City: Zip: Phone: BONDING COMPANY: Name:_ Address: City:_ Zip: Pho _I/Not Applicable State: " Not Applicable 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure swhich is in cantructure. Pleasecconith any sult withyourHle Home Owners Association ome Owners Association andrrievewylaws or anyour deed or any CoVenrestrictions ntsthatm ihich may appstrict or . prohibit such 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 to youFo-r rty. A Notice of Commencement must be recorded and posted on the jobsite before the first it tyou intend to obtain financing, consult with le er or an attorney before commencing o _ n our Notice of Commencement. owner/ Lessee/Contractor as Agent for Owner ntractor/License Holder 39UN l OF Ffl�l �+ � ORI CSTATE OF OiJNTY OFCOUNTY OF The forgoing instrum t was acknowledged before me this &L)day of 20 } —Q by QyYlLs G'��✓ Name of perso aking statement Personally Known OR Produced Identification Type of Identification �W�r.`:v ; (Signature of Notary Public- Statte/of i=l aOgg Commission No. al ' &PA1,RflN1A1_i>I *`. •• #GG 289362 REVIEWS �FRONT ZONING COUNTER REVIEW GATE RECEIVED DATE COMPLETED Rev. 8/2/17 The forgoing instru nt was acknowledged before me this Uk - A20C20 by Name of person making stateme Personally Known ,� OR Produced Identification Type of Identification Produced iature of Notary Public- State of Florid co��i yN C /'_� ¢ �a APY,�io •. mission No (5 7 y91 ©9 L. B d 289882 -,ARRINIA L %fin yeo y• PLANS I VEGETATION SEA TURTLE REVIEW . REVIEW I REVIEW