HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �1 r C) o a-O� Permit Number:
Lffgaa
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1558 Fax: (772) 462-157$ Commercial Residential
PERMIT APPLICATION FOR: A,I -;r e ke
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: 60 cP�
Property Tax 1D #: �a �i7� R ZjQj� ' _-_.. Lot No. 1,26
Site Plan Name: Block No. 43 1
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIIJN OF WORK:
CONSTRUCTION INFORMATION:
j Additionalwor to e e orm un ert is perm it—c ec a appy:
Ir iHVAC Gas Tank F]Gas Piping LJ Shutters Windows/Doors
01 Electric Q Plumbing Sprinklers 0 Generator L=1 Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 2)d • Do Utilities: _ Sewer 0Septic Building Height:
LJ VV IVr_K/Lk
Name t) 'I'' e. 6441 _
Address: I ( o 6 U
City: Et . P; "Gne� State: Fr
Zip Code: a_ f- 51 Fax:—
Phone No. -7-7 - LJlo ► -'l b q
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: James Snyder
Company: Snyder's Cooling and Heating, Inc.
Address: P.O. Box 2407
City: Fort Pierce State: FL
Zip Code: 34954 Fax: 772-600-4811
Phone No. 772-528-3377
E -Mail: snyderscooling@aol.corn
State or County License: CAC1816579 l ##26414
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
OWNER/ CONTRACTOR AFFIOVIT: 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 Plorida 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 or or recordingour Notice of Commencement.
Q
Rev. S/Z/17
i azure of Owner/ Lessee/Contractor as Agent for Owner 0,,;,�f �Contractorll_icense Holder
STATE OF FL�i� SPATE OF FLORIDA � r
COUNTY OF � Qf COUNTY OF
The forgoing instrum t was acknowledged before me The forgoing instrumen as acknowledged before me
this day of 2{��Qby this day of 20 o20by
Name of perso making statement Name of person�-naking statement
Personally Known per
OR Produced Identification Personally Known ✓✓ OR Produced Identification
'type of Identification Type of Identification
Produced � Produced
R�,11111i 11 N11�1J�, ��1111+1i11� 11N/��
�,C. BtgC / X �,g13dA L.•g��i/
� C�Ic.a� ' ' . � /fes �-'t.. ., �� ' p,4}SSICZ/y •,�'�'
(Signature of Notary Public- State of Florida � `'•' ��` e�Y22a ' i r�.ture of Notary Public- State of Flor' -� eR ? ' •-
Co s ion No. (Seal) �•• Cc�rsion No. =�eal) •.•�
k� pp ��•• �riiG 289882
i '.?� t�`a `:•O Z SAl�RIsVI'7 L. Bi.%�l.�c �4v
� 2 '.°!a gnnded a .' kv� ��.�s • y�U°jded aht a� •'
1// ,Q�y'-•..;�. �.•''� Q �\\� �f/� (fig '•.. .••��4
REVIEWS
FRONT ZONING Q) NS VEGETATION SEA TURTLE
COUNTER � REVIEW I R f*M#t111 `REVIEW REVIEW REVIEW �C�R
DATE
RECEIVED
BATE
COMPLETED
SUPPLEMENTAL C�NST#�UCTI N LIEN LAW INFORMATION:
®ESlGNER/ENG INEER: %---Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: �
Name:
Not Applicable
BONDING COMPANY:
Name;
of Applicable
Address:
Address:
City:
City;
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIOVIT: 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 Plorida 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 or or recordingour Notice of Commencement.
Q
Rev. S/Z/17
i azure of Owner/ Lessee/Contractor as Agent for Owner 0,,;,�f �Contractorll_icense Holder
STATE OF FL�i� SPATE OF FLORIDA � r
COUNTY OF � Qf COUNTY OF
The forgoing instrum t was acknowledged before me The forgoing instrumen as acknowledged before me
this day of 2{��Qby this day of 20 o20by
Name of perso making statement Name of person�-naking statement
Personally Known per
OR Produced Identification Personally Known ✓✓ OR Produced Identification
'type of Identification Type of Identification
Produced � Produced
R�,11111i 11 N11�1J�, ��1111+1i11� 11N/��
�,C. BtgC / X �,g13dA L.•g��i/
� C�Ic.a� ' ' . � /fes �-'t.. ., �� ' p,4}SSICZ/y •,�'�'
(Signature of Notary Public- State of Florida � `'•' ��` e�Y22a ' i r�.ture of Notary Public- State of Flor' -� eR ? ' •-
Co s ion No. (Seal) �•• Cc�rsion No. =�eal) •.•�
k� pp ��•• �riiG 289882
i '.?� t�`a `:•O Z SAl�RIsVI'7 L. Bi.%�l.�c �4v
� 2 '.°!a gnnded a .' kv� ��.�s • y�U°jded aht a� •'
1// ,Q�y'-•..;�. �.•''� Q �\\� �f/� (fig '•.. .••��4
REVIEWS
FRONT ZONING Q) NS VEGETATION SEA TURTLE
COUNTER � REVIEW I R f*M#t111 `REVIEW REVIEW REVIEW �C�R
DATE
RECEIVED
BATE
COMPLETED
SUPPLEMENTAL C�NST#�UCTI N LIEN LAW INFORMATION:
®ESlGNER/ENG INEER: %---Not Applicable MORTGAGE COMPANY: Not Applicable