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HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:�I�� 3CD Permit Number: i Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: A�(-� Kk o-4— /lam b Ke 0 PROPOSED IMPROVEMENT LOCATION: Address:ubl7 �Ctu WOrY1CA� Legal Description: Lo-'Ke- c� i Gti-Y r� � �-'+� � -�' c� ,�, � �L �) La t� I � il�►Q�� �f � f[.ri T .), . Property Tax I D#: i ©) —0 t k ' - 0 ' 2 Lot No. Site Pian Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK; U LAX U ✓1 LP S -e-e-v L,-� 4� LJ y 1 CONSTRUCTION INFORMATION: Dime un-- t is permit- c ec a app y: A 11 11 ial worK to 5flas -i HVAC Tank F]Gas Piping _ Shutters Windows/Doors ElElectric ® Plumbing 1:1Generator Sprinklers Roof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ d fl , j`� Utilities:Sewer i _JSeptic Building Weight: OWNER%LESSEE; CONTRACTOR: Name Name: James Snyder Address: aA Company: Snyder's Cooling and Heating, Inc. City: i State: Address: P.O. Box 2007 Zip Code:. pf5 { Fax: City: Fort Pierce State: FL Phone No flL - Zip Code: 34954 Fax: 772-600-4811 E-Mail: Phone No. 772-528-3377 Fill in fee simple Title Holler on next page ( if different E-Mail: snydersco Ang@aol_com from the Owner listed above) State or County License: CAC1816579 I #26414 it value or construction is 52500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTI N LIEN LAW INFORMATION: DESIGN ER%ENGINEER: Not Applicable Name: MORTGAGE COMPANY: of Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEF SIMPLE TITLE HOLDER: of Applicable Name: BONDING COMPANY: of Applicable Mame: Address: Address: City: City: Zip: Rhone: 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 thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, 'bylaws or and covenants that 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, 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 your property. A Notice of Commencement must be recorded and posted on the jobsite before the firs spection. if you intend to obtain financing, consult with lender or an attorney before comrnencin ori recording your Notice of Commencement. r of Owner/ Lessee/Contractor as Agent for Owner �gnature of Contractor/License Holder STATE COUNTOY OF OR t . L - i� STATE Y FLO ! �L_ �" � COUNTY OF�, � . __. °�— The forWing instru was acknowledged before me this bday of ?OpXby r Name of person aking statement Personally Known �OR Produced Identification Type of Identification Produced ,,�,.... (Signature of Notary Public- State of Commission NA SABRINA REVIEWSI FRONT ! ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 The for oing instr was acknowledged before me this day of 25,;�6by arn� �S e Dame of person�king statement Personally Known c--- OR Produced Identification Type of Identification \ W1111 10 SABRI qty/� rod NtSture of Notary Public- State of Florida) (3 269a CwZission No. GGa 915 4o (seag p �A iC°��ed Ihsu `e�S '• •7ABRf NA L. BLACK I:; � .�A C k0 •• w -TATE OC Si 0110116 PLANS VEGETATION SEATURTLE MAi � I REVIEW I REVIEW REVIEW REVIEW REVI'E