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HomeMy WebLinkAboutFix - 750 SE Hidden River Dr SLCALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 111 s I aZ 0 ri]ALL11rri9rx9 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34-982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential M PERMIT APPLICATION FOR: _ L, �'� �U Ke— PROPOSED IMPROVEMENT LOCATION: �7 Address: isO ;��PXI csr k ;- I'oqtf 6P, (-+tic.i2� ri• -,3qc1v3 Legal Description: oiek\ 1�.l L--b �", I Property Tax ID #: _7E)1 — QL75(0 -C]DD -9 Lot No. C J Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: ,�- � � C�ht��- v��- � L► aka � U � 41 seq.✓ ; �-�- Y KtJ NeJ CONSTRUCTION INFORMATION: Addil wor to e e orme under this permrt— c1 eck—all apply: ZHVAC Gas Tank ❑as Piping _Shutters ❑ Wrndows/Doors Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof u Roof pitch Total SA. Ft of Construction: S Ft. of First Floor: Cost of Construction. $ cJ�c�J©-Utilities:n Sewer ❑ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name QLa, 1 Name: James Snyder Address; -760 i M LJU'Llr. Company: Snyder's Cooling and Heating, inc. City: f f 4-a/t.4 k, State: Fl • Zip Code: __ 3L1 a Y6 _ Fax: Phone No. 1 LQ - q 3 ai ~ -7 06- Address: P.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) E- Mail: snyderscooling@aol.corn State or County License: CAC1816579 / #26414 -M. — u"lull a .?4Z3w ur 111v(e, d Krt_V WLU IVoirce or Lommencement Is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: of Applicable Name: Name: Address: Address: City. State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _,Aot Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: j City: City: Zip: Phone: 1 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 bylaws rules, 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 he recorded and pasted on the jobsite before the first inspe ion. you intend to obtain financing, consult with lender or an attorney before commencin wor r r rdin our Notice of Commencement. a of Owner/ Lessee/Contractor as Agent for Owner ignat of Contractor/License Holder l ST'ATE OF FLORID j TATE OF FLORID j COUNTY OF COUNTY OF.. The for ping instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20,iQby this day of _7120 0'4),y eA/' I J 0-VVI�LS 8 Name of person making statement ame of pens making statement Personally Known ✓ OR Produced Identification Personally Known � OR Produced Identification Type of Identification Type of Identification Produced Produced \\\I�N1111111111/ o111111111111 (Signature of Notary Public- State of Florida �� �Y2 .+tune of No/t`ary Public- State of Florida) .��\'co0�u1 Commission NoA7 RQLO� iS l) : ` k� 3 PC( fission No.C��( � 3LOriD ••• SABRINA'a L . BLACK - `'� i * SABRINA L. BLACK y • A #(,G 289862 ?89B •�cc o 2 �U•�/y o 1 ntled t �t F' . e�:•,• •. G•. 6i,� Under REVIEWS FRONT ZONING i l�U6 F� NS VEGETATION SEA TURTLE h7t I COUNTER REVIEW °'1� f 11fA?o\EW REVIEW REVIEW R1�,7G�F DATE +►r ► 1 RECEIVED DATE COMPLETED Rev. S/2/17