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HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETE© FOR APPLICATION TO BE ACCEPTED Date: 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 Commercial Residential V PERMIT APPLICATION FOR:���-` PROPOSED IMPROVEMENT LOCATION: Address: 6b { S t �. 1 r �" 1 Legal Description: Lkn I -� o Property Tax ID #: 3J40 C!d D on E)' S Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: ��- �0_'V-r, CONSTRUCTION INFORMATION: Additional)Aar to (e�ej Hormed under tis permit—c ec a app y: �HVAC L__I Gas Tank ❑Gas Piping _ Shutters a Windows/Doors Electric Plumbing ESprinklers Generator Roof Roof pitch Total Sri. Ft of Construction:r,, SgFtj of First Floor: Cost of Construction: $ 0o _ Utilities: 0Sewer 0Septic Building Height: OWNERAESSEE: CONTRACTOR: Name 1 6L_ bpLo Name- James Snyder Address: r Company: Snyder's Cooling and Heating, Inc. City: mm � 01 A -c�� State: ` Zip Code: 3gcf?o2- Fax: Phone No. oR -LOALO l q 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_com State or County License: CAC1816579 1 #26414 if value of construction is $2500 or more, a RECORDED Notice of Commencement is requires. SUPPLEMENTAL CONSTRUCT19N LIEN LAW INFORMATION: DESIGN ER{ENGINEER: _ Not Applicable MORTGAGE COMPANY: � Not Applicable Name: Name: Address: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ao the WOM ano knsiallatswl dS MIUMdLt U I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes rso 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 5t. 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 i�+5pecti n. If you intend to obtain financing, consult with Mender or an attorney before ,.. •-1, RI-+iro of rnmY onrPrn Pnt. l_U{i klllClkLlliv--.•••••--••-----••--_- e of Owner/ Lessee/Contractor as Agent for Owner ture of Contractor/License Holder Si�ATE OF FLORID �t� aCOUNTY STATE OF FLORID I € OF—(:- 7--f¢ COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me f� by this -- day of C C7�— 20di) by this day of ++ �^ i� G12�✓ j+Z4o� Q�•0 ��� iA.�J✓ Name of persogp;Fakrng statement Personally Known ✓ OR Produced identification Name of persaDrnakMg statement Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced ,��11t11111fflfl/��� i f (Signature of Notary Public- State of Florin j .' t� VAR}. 'W% rY � 2� nature of Notary Public- State of Flo "u : Commission No.G- PPfi Z- r. • Commission No.btY &2 qyh,— d1) °�c�8 -i5ea1j r y o SABRINA L. BLACK •d 28sas1 _ a �9172 'F SABRINA L. BLACK fro{ �s�"edrts:.s 4 REVIEWS FRONT ZONING � � �q%ib�t�;��PLANS VEGETATION SEATURTLE ��i� COUNTER REVIEW " &0110,j'�O REVIEW REVIEW REVIEW R DATE RECEIVED I DATE COMPLETED I Rev. 8/2/17