HomeMy WebLinkAboutBuilding Permit Application 09/04/2820 13:I8 7725693055 SNYDER PLUMBING PAGE 02/03
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 8E ACCEPTED
Date. Permit Nui ibdr'i
0 QV
SEP 6 20:
Building Permit Applicatkow
Planning,and Development Services St. Lucie C 11
OU11 'FL
Building and Code 1?egularlon VvWon Commercial
2300 VirgInid Avenue,Fort Pierce rL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Project Name:
[�ETAILE'D DESCRIPTION OF WORK: X
New Electrical Meter Second Electrical Meter
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Additional work to be performed under this permit–check ail that apply,
—Mechanical GasTank —Gas Piping Shutters Windows/Doors P d
Electric Aplurn'bing —sprinklers Generator Roof Pi h
Total Sq.Ft of Construction: Sq.Ft.of First Floon
Cost of Construction:$ Utilities- _Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Address- Company- '�>nqdpx_PIurn6tn�
State:r–L Address
Zip Code:2?Lfq 15 1 Fax;— city-, VC'_y"z> State.
Fill in fee simple Title Holder on next page if different E-Mail ri.�')15orl
from the Owner listed above) State or County Lice rise Lk='��4118�OLIO
If value of construction is Z500 or more,a RECORDED"Ice of Commencement is required.
If value of HAVC is$7,5110 or more,a RECORDED Notice of Commencement is required.
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09/04/2820 13:18 7725693055 SNYDER PLUMBING PAGE 03/03
SUPPLEMENTAL-CONSTRUCTION LJEN LAW INFORMAIION:
MORTGAGE COMPANY: P,
DESIGNER ENGINEER: Not Applicable NotAp cable
Name: Name:
Address- Address:
City, State: City: Phone;
Z71p. Phone Zip:
FEE SIMPLE TITLE HOLDER. _NotApplicable BONDING COMPANY., —Not Appi ble
Name: 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 s 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 ubj s�ucture
which Is In conflict with an applicable Home Owners Association rules,bylaws or and covenants that May restr or ro'ibit such
structure,Please consult Uth your Home Owners Association and review your-dead for any restrictions which aya pi
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.
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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 U,,WARNING TO OWNER.,Your failure to Record a Notice of Commencement may result In paying twice for I.re' ri improvements to your property.A Notice of Commencement must be recorded in the public 5 of St.red rd Lucie County and posted hejobsite before the first inspection.if you intend to obtain financiq consuit with lendef'51 an att-o;nevb "ore commencina work or recording your Notice of Commencement COUNTYOF 64,11lif COUNTY OF Sworn to(or affirmed)and subscribed before me of SVprn to(or affirmed)and subscribed before me of A Physical Presence or Online Notarization ,X_Physical Presence or Online Notarization i tTifsA!!!*riayof A this I�L day of 2020 by 2020 by Name of person making sfaternent Name of person making statement.Personally Known X OR Produced Identificatioh Personally Known OR Produced Identificationt Type of identification Type of Identification Produced Produced(Signature of Notary Public-State of f1twift (Signa e of Notary Pu I ic-�tat Vclai)No. Nvlafypu� 'Pod.Commission MYCOMITL ExpliesJul V,1021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEeETATION SEA TU RTLE MAN OVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED
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