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HomeMy WebLinkAboutBenjes - 543 Paurotis LaneALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: J>J) Lg a a CD Permit Number: s NNW Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginio Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPOSED IMPROV MENT LOCATION: Address: 5)4 ] 'V0JA—` b `H1 S Legal Description: Qi &r 0 L) e. 5 1 Z.b 4- 1 Property Tax ID # 1 D - c5dv - Da `] ! - D D d Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back. Right Side: Left Side: nD-tETAILED DESCRIPTION OF 1NORK: CONSTRUCTION INFORMATION: Additional workto e e orme u� er t is permit — c ec a app y: R]HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors L� Electric ❑ Plumbing Sprinklers Generator E]Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cast of Construction: $ 5 • D Utilities: Sewer ❑ Septic Building Height: OWNERAESSEE: CONTRACTOR: Name a r a1 0n J2's Name: James Snyder Address: 5q3 LLLL-ib 1 ^-P- Company: SnYder's Cooling and Heating, Inc. City:PAToL State: 0 • Zip Code: 3Lfq D oa�i cf Fax: ` Phone No. -7A o g p sad 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: snyderscoolirg@aol.com State or County License: CAC18165791 #26414 If value of construction is $2500 or more, a RECORDED Notice 01 tommencemeni is requires. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: � Not Applicable MORTGAGE COMPANY: _ of Applicable Name --- Address City: Zip: Ph State FEE SIMPLE TITLE BOLDER: ✓ Not Applicable Name:_ Address City:_ Zip: Phone: Name:_ Address: City: Zip: Phone: BONDING COMPANY: [Name: Address: City: Zip: Phone: State: Applicable OWNER/ CONTRACTOR AFFIDl/1T: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or instailation 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 tlructure. Pleaslict e consth ult w with your Hle Home ome Owners Association andwners Association rreview your deed foaws or and r any ny rest nts ictions hat which rmay a ict 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: Yvmlr f. 'lure to Record a Notice of Commencement may result in your paying twice for improvements to you r y. A Notice of Commencement must be record d osted on the }obsite before the first ins c i . if you intend to obtain financing, consult with �?�4n attorney before commencing w ecordine your Notice of Commencement. Lessee/Contractor as Agent for Owner Contractor/License Holder KE OF FLORI } - ATE OF FiORI® � � � LINTY OF LU` C.+ Q� C©LINTY OF L�1 The forgoing instru ent,w/as cknowledged efore me jE this ,nL day of CITY C &Y e v- Name of person}�aking statement Personally Known ✓ OR Produced Identification Type of identification Produced l xN01i11111111r� [�- A L (Signature of Notary Public- State of Florida) �` , SION '� �/q / o A Commission No. L��? 0 6 �(il �- (SfSAF30?NA 1- BLACK ) .���`�A�r��p y : 2 3IGG 289862 REVIEWS I FRONT j ZONING COUNTER J REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 The forgoing instru t was a knowiedg efore me this Ak day of 2a_ by 6b � eA/ Name of persgr) making statement Personally Known ✓ OR Produced Identificatin Type of Identification Produced AgRyNA C?B�5 � ,.•'' �ssroy �, A ature of Notary Public- Public- State of Florida m�ission Na CS ����� Beat) �•� #GG 289861 ' * =-SABRINA L. BLACK NS VEGETATION I SEA TURTLE IEW REVIEW REVIEW R