HomeMy WebLinkAboutGreene - 5802 Deer Run Dr - SLCALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: jd-0ao ao Permit Number:
w
r.ra
0u111011 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
PERMIT APPLICATION FOR: A 4 L -cy)
PROPOSED IMPROVEMENT LOCATION:
Address: '5I0 j eel
Legal Description: 44 O L; d o V, EA
Commercial Residential ✓
bud- 2 Aor-rLKe_ 0
4)..R.
51
LO4_5
Property Tax ID #: IJ 13 ai — D06-�to — QD d 41 Lot No. 1579
Site Plan Name: Block No.
Project Name:
Setbacks Front Back. Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
�tioc�morn 5 VOVI ! -7 5 e-v-
CONSTRUCTION INFORMATION:
Additional work to be e orme u�e, ispermit—c ec atShu�tters
�HVAC Gas Tank❑Gas Piping _
Electric Plumbing 115prinkfers ❑ Generator
Total Sq. Ft of Construction:" 5 . Ft, of First Floor: _
Cost of Construction: $ l(G lltilitiesTi Sewer Septic
OWNER/LESSEE:
Nam u,,1 4 ro fZe-Ae-
Address: c�J D
City:
Zip Code: S ! Fax:
Phone No. '7-7 A - _ b - 14
E-Mail: ------
Fill in fee simple Title Bolder on next page ( if different
from the Owner listed above)
Windows/Doors
Roof Roof pitch
Building Height:
CONTRACTOR:
Name: James Snyder
Company: Snyder`s Cooling and Heating, Inc.
Address: P.O. Box 2007
City: Part Pierce State: FL
Zip Code: 34954 Fax: 772-600-4811
Phone No. 772-528-3377
E-Mail: snyderscooling@aoi.com
State or County License: CAC18165791#26414
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER%ENGINEER: � Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip, Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
i
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con i list with any applicable Home Owners Association rules, bylaws that
or and covenants may restrict or prohibit such
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, l 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 your property- A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin wor r recordingour Notice of Commencement.
�of
a re of Owner/ Lessee/Contractor as Agent for OwnerContractor/License
re Holder
STATE OF FLQJA y
COUNTY
STATE OF FLORIDA
OF v 1--�
COUNTY CIF
The for ping instrument was acknowledged before me
this day of Zp �Oby
The f r Ding instrument was acknowledged before me
this �ay
of ZO?bby
Name of persoymaking atement
Personally ✓
Name of personaking statement
Known oR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Public- State of Flo a)." Alora
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gnature of Notary Public- State of Florid* Y
Comrriission No.W agI ID e I $.
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'aBRIiVA L. BLACKvc2asas2 :�*
remission No. ai_j. a w
SABRINA L. BLACK
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DATE
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Rev. B/Z/17