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HomeMy WebLinkAboutWright - 8412 Muirfield Way SLCALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2 D ai Permit Number: 00 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 V/ PERMIT APPLICATION FOR: AIS LJ Li K -e— PROPOSED IMPROVEMENT LOCATION: Address: 1 �� r � e l fr_ �.1 o.J t5 t . 2.,&& e_ 3119,?Zc Legal Description: 6 Property Tax ID #: 0635 - 06D -�2 Lot No. 3 -Z - Site Plan Name: Block No. Project Name: Setbacks Front Sack: Right Side: Left Side: DETAILED DESCRIPTION OF WORD: ,416, Glia" e� ©e -kJ Like- CONSTRUCTION INFORMATION: Additional worktoejperformedun ert -checkispermit a appy: ®HVAC L �J Gas Tank EGas Piping Shutters F Windows/Doors Electric ® Plumbing O Sprinklers I-1 Generator 171 Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ __33 RQ, z Utilities:cnSewer Septic Building Height: OWNS /LESSEE: �o 'CONTRACTOR: Name (Ir r� Name: James Snyder Address: 1.2-w;✓ ; Company: Snyder's Cooling and Heating, Inc. City: 1&j 5[. L.an.0 2_ State: Fl. Zip Code: 155Md 4 Fax: Phone No. 06- 9 oL Address: P•Q- 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.com State or County License: CAC1816579 / #26414 V- WC vUVIeau u<uvIl M R7G7VU Ur mare,. a KtIAJKUtlJ NOUCe OT LOMmencement is required. SUPPLEMENTAL CONSTRUCTI LIEN LAW INFORMATION: DESIGNERIENGINEER: Not Applicable Name: MORTGAGE COMPANY: ""Not Applicable Name: Address: Address: City: state: Zip: Phone City: State: Zip: Phone: EEE SIMILE 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_ 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, wails, 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 inspection. If you intend to obtain financing, consult with fender or an attorney before commencing,/ork W recording your Notice of Commencement. of Owner/ Lessee/Contractor as Agent for Owner,p 0Are o€ Contractor/License Holder ATE OF FLORID COUNTY OF_� LLkLA STATE OF FLORID j COUNTY OF ±, The fo oing instrum . t wa acknowledged before me this:'day of d 20,�W by The forgoing instrum t was acknowledged before me this ��day of 20.20 by J eiv Name of peaking statement rson Name of perso making statement Personally Known OR Produced Identification Personally Known 1� OR Produced Identification Type of identification Type of identification Produced Produced (Signature of Notary Public- State of Flor'�} 5p .•' "' C' ��i.;' I �Z(Signature of Notary Public- State of Flor_i�d` �ei't •iq•+�, .•V.�tlt„1�1ySiVS3I�Yry Commission NO.G -oR 9cl96 z 'l.<�P•,;�M•R�h"�tiIASSRiY�,yE "C. No&- 9b+4 SABRINA L. BLACK =�k • `•a : SABRINA L. BLACK = azasca #Gc 289862 ._ C a . REVIEWS FRONT ZONIN&�`j' �0'Vedth"v i��•'. ��il�ItsRV ��PLANS VEGETATION i��.f°��dedtbiq SEATURTE&'c `��i . e�y_ � v o COUNTER REVIE`N���i�o �(�� �r REVIEW REVIEW REVIEW q?E�� DATE IfIFf111N 1111Im RECEIVED DATE COMPLETED Rev. 8/2/17