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HomeMy WebLinkAboutNicholson - 29 Lake Vista Trail #107 SLCALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ­711 a00,C Permit Number: Es Haling Permit Application Planning and DevelopmentServices Building and Code Regulation Division 2300 Virginia Avenue, fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Address: G) -1 L- Legal Description: Commercial Residential - _1/1" Property Tax ID #: r �� - 1 Ct Site Plan Name: Project Name: Setbacks Front Back: Right Side Left Side: DETAILED DESCRIPTION OF WORK: 1 l� N)old r Li k e- Pne- lit Ke_ __4'Q�vv) 0� h-,(), 15 6 e'er liAj J 4'k '5 CONSTRUCTION INFORMATION Additional vuor to e e Dime un er t is perrt�it — c ec atShutyers pp ZHVAC Gas Tank ❑Gas Piping Electric Plumbing Sprinklers ❑ Generator Total Sq. Ft of Construction: Cost of Construction: $ Sq. Ft. of First Floor: _ Utilities: Sewer Septic Lot No._ Block No. E]Windows/Doors E]Roof C� Roof pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name :i&i_/� D 66Y Name: James Snyder Address: �.✓psi107 Company: Snyder's Cooling and Heating, Inc. City: (� State: Zip Code: �31A9 S a Fax: Phone No. 3 7 Address: '•O. 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) ff .-6 _F - - : - E-Mail: snyderscooling@aol.com State or County License: CAC1816579 i #26414 - -_-- -- --..--•--•, •� r�-•+-+v .�, ,,,�„c, 0 n&%,vnvcv IYUUCt! U7 Lommencement is required. SUPPLEMENTAL CONSTRUCT19LIEN LAW INFORMATION: ©ESIGNI:R/ENGINE1=R: 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: of Applicable 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- [ 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 l 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 payingtwicefor improvements to your property_ A Notice of Commencement must he recorded and pasted on the jobsite before the first insppetion. If you intend to obtain financing, consult with ]erer or an attorney before commencing wo r repordinR vour Notice of Commencement. / g ur Owner/ Lessee/Contractor as Agent for Owner n e of Contractor/License Holder I ST OF FLORI f C UN OF[.- wca �, ATE Olr 1'LORID COUNTY OF T. C The for oing instr �t was acknowledged before me The f r ing instrum s acknowledge before me this day of 2Q�Oby this day of 20by A •ems I Name of person making s tement Personally Known ✓ OR Produced Identification Name of person making stateme t Personally Known FOR Produced Identification Type of Identification Type of Identification Produced Produced 36L� ,`\, 114�i1B1ll/j���`, r `\ti\1118R1fVgI��� • • •N (Signature of Notary Public- State of�br •F��s51aN1a;' �y 4 QJY2 2a�s•,_ (Signature of Notary Public State of Florida .•• eT��ORUARy2 QQ/ Commission Na. (} • * l .. CommissionpN7a.y�6� @ ems• SABRINA L„ BLACK <�` ' G259862 � �y6Ct.opJ&{`gAj Sa�C]1 INA L. BLACK �� �''��•` :�a�p 84s62 `y: i '•?o o .� � � � s�� i .[. '° sae e REVIEWS FRONT COUNTER �� 9 •� ZON� yA� REVIIIEIIf In ublic Ueda •� <c�' sUf> tic, ! PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW �c �lndaswt;.-' EIp 4!!11\\ DATI= RECEIVED I GATE COMPLETED Rev. 8/2/3 e