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HomeMy WebLinkAboutGleasman - 8917 Sandshot Ct SLC.pdfALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: .1— ;L -Z) Z -o Permit Number: Building Permit Application Planning and Development 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: PROPOSED IMPROVEMENT LOCATION: Address: Legal Description. f l(l4k�LADY 0 v VWyt `5q I Property Tax ID #: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Might Side: Left Side: Yawl. � -��- � � S ��✓ � � `�` l Additional work to be nej orme under this permit – check all apply: HVAC I_I Gas Tank FIGas Piping _ Shutters a Windows/Doors QElectric Plumbing Sprinklers Generator F]Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: o Cost of Construction: $ 44-75, 616 UtilitiesSewer Septic Building Height: ©MINER LESSEE: CONTRACTOR: Name n ► ZQ— e-0-rJ l� Name: James Snyder Addres Company: SnydeCs Cooling and Heating, Inc. City: (� ' Q., State: Zip Code: Fax: �l Phone No. 1!5" C') + Address: P.Q. 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: CAC18165791 #26414 If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires. SUPPLEMENTAL CONSTRU DESIGNER/ENGINEER: Name:_ Address: City: _ Zip: Phon N LIEN LAW INFORMATION: Not Applicable State: FEE SIMPLE TITLE HOLDER: ✓ Not Applicable Name: Address: Cit\[• _ Zip: Phone:_ MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Address: City: Zip: Phone: ✓ Not Applicable Mate: ✓ Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obta"n a permit to do the work and installation as indicated- [ 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 �n tructure. Please conlict lth sult withpyoiur Home Owable Home ners Associawners ociation tion andreviewyour deed for any restrictions which aws or and covenants that may restrict may apply obit 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 our property. A Notice of Commencement must be recorded and posted on the }obsite before the first pection. If you Intend to obtain financing, consult with lender or an attorney before commencin Or�,or recordin our Notice of Commencement. of Owner/ Lessee/ Contractor as Agent for Owner STATE OF FLORt JIIA COUNTY OF `�� The forgoing in -strum was ackntuledged before me this .qday of v✓ 2Q'by T ) 04KL, gd Name of person gpaking state ent Personally Known ✓ OR Produced identification Type of ldentification Produced _ (Signature of Notary Public- State of Florio) ,• AZZ Ur ��y'•`�, *:• ��y2 'o'. Commission No, UI A5��1) ,SABRINA, L. BLACK 0* X62 r Vii_ � •'•%Unn �55i8��.�. REVIEWS IFRONT I ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Rev, 8/2/17 re of Contractor/License Holder STATE OF FLORIDA COUNTY OF � The for Ding instrument wai acknowledged before me this ay of12 )I -Y644 � 20,26 by � A Name of person king stAtement Personally Known OR Produced Identification Type of identification Produced iature of Notary Public- State of Florida }�`w�`' • •, �C]MMfs�` mission Nd. raj F �>zU4 SABRINA L. BLACK PLANS VEGETATION I SEATURTLr:; vJ REVIEW REVIEW REVIEW ��