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HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: t 1 I aDa Q Permit Number: w 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 PERMIT APPLICATION FOR: -� G - '� L; CONTRACTOR: PROPOSED IMPROVEMENT LOCATION: Address: J 1 Je � � � i -1re,_ I F-1- Aeffc e 1 (54q5_1 Legal Description: 19 +1,;7- Q# 5F, IN d -l- NF, lfq 04� NO 1f !Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: GhoL►V — U K e- U K<e, laititional worK to gepej rtormed under this permit— chec L"JHVAC F� Gas Tank ❑Gas Piping Electric 0 Plumbing Sprinklers Total Sq. F€ of Construction: ZND Cost of Construction: $ 41f) , , Lot No._ Block No. LJ Shutters Windows/Doors 0 Generator Roof Roof pitch S.Ftj. of First Floor: _ Utilities:I _ISewer Septic Building Height: OWNER LESSEE: CONTRACTOR: Name 2 Name: James Snyder Address: 'N �jbb T layrn 1�, Company: Snyder's Cooling and Heating, Inc. Cit k/ y: �/� -'L-'�i.G�Jli}j�V i C� State: - Zip Code: ©�A v D9 Fax: Phone No._. ,z5 Sb —' ]q, • `g L31 - Address: P-0. 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 Titte Holder on next page (if different from the Owner listed above) E -Mail: snyderscooling@aol.com State or County License: CAC1816579 /#26414 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCT! 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: Address: BONDING COMPANY: _Not Applicable Name: 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 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 ins ection. If you intend to obtain financing, consult with lender or an attorney before commencinLy viror recordini= your Notice of Commencement. a of owner/ Lessee/Contractor as Agent for Owner na of Contractor/License Holder STATE OF FLORID L STATE OF FLORIDA COUNTY OF C d COUNTY OF The forgoing instrume, was acknowledged before me day LkA )-0by The forgoing instru was acknowledged before me this � day of 20,—,240by this of --+ice , 20 Name of Pers making statement Name of persorymaking statement ✓ Personally Known ' OR Produced Identification Personally Known OR Produced Identification Type of identification Type of Identification Produced r\%0%liI1I111111 i ,, tiM�SSlpry Produced �rY \\tllHll;ill# ,t' ���� a�AhtiISS! igna ire of Notary Public- State of Florida) (Signature of Notary Public- State of Florida) , 4 ? Commission No. PIG C A (SeA'" Cor,pWiSion No.l_'SC7 O (5eai z ;� �ceza .-: �� •Z 289882 AL3l�JN r I— :; YP • 1A"'7Q, � SA� �!1 N� L. � L.A � � � v ' �w� � 8G ' tr ` i L ���ed YN a� thcu ''.Aj. REVIEWS FRONT ZONING SLJri�7y1�\4�L4NS , VEGETATION SEA TURTLE NAA COUNTER REVIEW REV! REVIEW REVIEW REVIEW REVIEW III DATE RECEIVED DATE COMPLETED Rev. 812117