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HomeMy WebLinkAboutGravel - 8045 Meadowlark Lane SLCALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ��� 1A VA p Permit Number: 11 OEM "01111101 NNW 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 I� PERMIT APPLICATION FOR: C'` ._ ,- qra Ae, R �. PROPOSED IMPROVEMENT LOCATION: Address: (2_�06jlo_v V_ LrJ cC7L9 5a Legal Description: Pr c5eXU2 CA" Property Tax I D #: of J� ` �LO — 1 - G'J Lot No. ``/ 1 Site Plan Name: Block No. go Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: C. K e- 5 } 1 q ,ram 2 a CONSTRUCTION INFORMATION: A itiona war to (e Def arme un er t �s permit — c ec a app �y: HVAC L_{ Gas Tank Gas Piping Shutters Windows/Doors Electric 0 Plumbing Sprinklers MGenerator Roof Roof pitch Total 5q. Ft of Construction: �o Cost of Construction: $ �D f 5 Ft. of First Floor: _ UtiIitles:CnSewer D Septic Building Height: OWNER' LESSEE: CONTRACTOR: Name GLt� aUQJ� Nam!: James Snyder Address: 0 S QrDJ OO k Company: Snyder's Cooling and Heating, Inc. City: tw i�+ •_ �- L� a Q, State: R. Zip Code: - q Fax: Phone No. a D -7 Cj -7 Cp — 53 a`% 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: snyderscooiing@aol.cam State or County License: CAC1816579 / #26414 ----- ••.•••.-....�....� ----- -- ­J 01 0 nVa.%,rtUcLJ ,Yuuet! ur t-ummencement is required. SUPPLEMENTAL CONSTRUCTI N LIEN LAIN INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: 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_ 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 the permit 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 OWNED: 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 pasted on the jobsite before the first ins ection. If you intend to obtain financing, consult with fender or an attorney before commencing ,=- recording your Notice of Commencement_ I ig re of Contractor/i icensa Holder r of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORID STATE OF FLORI© 1 COUNTY OF ca COUNTY OF_ 15t, d— LA - COUNTY The forgoing instrument was acknowledged before me The for ping instrum t was acknowledged before me this f. day of 20C20 by this I-1 day of 20,20 by Name of person aking sta ment Personally Name of person aking statement Known OR Produced Identification Personally known OR Produced Identification Type of Identification Type of Identification Produced Produced 1t4liiFl �� `` \���1111141l1lflltf// GQ�rnlssroy {Signature of Notary Public- State of Florida }`��� �a MIMO'v • • r iature of Notary Public- State of Florida). - •,. Commission Na. omression No.CL'� zcrg(9a (S zasr 2 •2 SABRIN L. BLACK — 2" �'•� � o = BACK A A 4.y . ' REVIEWS FRONT y ZONING -� .; °�6jaed snsu �`� •' NS VEGETATION SI ATURTLE iA rE p MAii`e" COUNTER REVIEW ���Iil4FF `SEW REVIEW REVIEW REVIEW DATE RECEIVED I DATE COMPLETED Rev. 8/2/1 r