HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i1L71 Permit Number:
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
PERMIT APPLICATION FOR: A dc, M
PROPOSED IMPROV MENT LOCATION:
Address: _qq1)14 Dr Slri p _ 11i
Legal Description:
Commercial
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Property Tax ID #: 31 to - So O _ O bo - q
Site Plan Name:
Project Name:
Residential I�
3q 9 qT
3 Lo f.?_
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
-Aditrona wor to p-Pe orme un er t is perm Et - c
ZI iVAC L _J Gas Tank Gas Piping
Electric ❑ Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
Lot No. 02
Block No. 3 -
apply:
Shutters Windows/Doors
Generator Roof = Roof pitch
S Ft, of First Floor: _
UtilitiesbSewer Eleptic
OWNERAESSEE
Address:
City: State:
Zip Code. .3q,1 % LES Fax:
Phone No. -7
E-Mail: -
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Name: James Snyder
Company: Snyder's Cooling and Heating, Inc.
Address: P.O. Box 2007
City: Fort Pierce State: FL
Zip Code: 34954 Fax: 772-600-4811
Phone No. 772-528-3377
E-Mail: snyderscooling@aol.com
State or County License: CAC181 6579 1 #26414
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
-- • —•-. --- • •+ —I vn rcrr►uYI I; Appl€Cat€on is hereby made to obtain a permit to do the work and installation as indicated_
I certify that no work or installation has commenced prior to the issuance of a permit..
ie
wthic cis inconflictmakes
vith anyrepresentation that
a0€wners Association or€l rules,a�ylaws ar and covenantser to build
restrict subjectstructure
t prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions wmayhich may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first jrLsogction. if you intend to obtain financing, consult with lender or an attorney before
cornmencin r recordin our Notice of Commencement. /I
of owner/ Lessee/Contractor as Agent for
11TATE OF FIORI(�L
COUNTY OF. ( ,
The f,Qrgoing instrument was acknowledged before
this day of 20,.)Dby
Name of person making statement
1ersonally Known ✓ OR Produced Identificatio
Type of identification
Produced
(Signature
rr of Notary Public -
State of Fiorl
Comr/i�i riB CKWI� t1�
REVIEWS FRONT ZONING'''' A
COUNTER REVIEW
DATE i
RECEIVED
GATE
COMPLETED
Rev.$/2/17
er ,n Lure of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF�w
The forgoing instrument was acknowledged before me
this I day of 20 —14y
Name of person making statement
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
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(signature of Notary Public- State of Florida) oo�M€s •�_ (���
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mission Vo e�915((IJ. (5eai)��*. `s`��,ORu'•�
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