HomeMy WebLinkAboutBuilding permit appALL APPL4CdABLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i i off. Q lz-� Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Y
PERMIT APPLICATION FOR: .4+L� L k 0
PROPOSED IMPROVEMENT LOCATION:
Address: (1� l� ►-C��� lr
Legal Description: 2�5�✓J2� Aa'v - ~dam VhcaL6'L I t!!'t , LD �- 2�
Property Tax ID #: J� ��3 - 0p 33 — C) a — Lot No.-7
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
el� d-j
CONSTRUCTION INFORMATION:
�itiona workto e e orme un er t is permit— c ec a apply:
OV HVAC Gas Tanis Gas Piping In _ Shutters Q Windows/Doors
0 Electric 0 Plumbing Sprinklers II Generator ]Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4141�D-6,
S Ft, of First Floor: _
Lltilities:cn Sewer 0 Septic
Building Height:
OWNER!/LESSEE:
CONTRACTOR:
Name a f��
Name: James Snyder
Address: �702 4eS e-5 by,
Company: Snyder's Cooling and Heating, Inc.
11
City:_bf'1- 6t'• - State: �l-
Zip Code: 5�q f Fax: f
Phone N0. 1 _ �c�U 01
Address: P.O. Box2007
City: Fort Pierce State: FL
Zip Code: 34954 Fax: 772-600 �t811
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; snyderscooiing@aol.corn
State or County License: CAC18165791 #26414
-�•..� lls�l 4{ il4!! li �uuv uI IIIVIC! d IiC -unuCu ivouce Qr C.ommencernent Is required.
SUPPLEMENTAL. CONSTRUCTI N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY: V Not Applicable i
Name:
Address:
City:
Zip:
Phon
FEE SIMPLE TITLE HOLDEN:
Nacre:
Address:
City:
Zip: Phone:
Name:
Address:
State: City: State:
Zip: Phone:
t Applicable BONDING COMPANY: of Applicable
Name:
Address:
City:
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 Count 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, 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 toKY5:?�'receordlf
perty. A Notice of Commencement must be recorded and posted on the jobsite
before the first in you intend to obtain financing, consult with lender or an attorney before
commencingj�your Notice of Commencement.
of Owner/ Lessee/Contractor as Agent for Owner
ctar/License Holder
OKATE OF FLORIp ,yFi'A1 E OF FLORID
COUNTY OF , �—�c�u COUNTY OF
The f r ing instr ment
s acknowledged before me
this day of
, 20,�-Qby
'J—an-+2r
C�5 6� e V
Name of pers
making statement
Personally Known
OR Produced identification
Type of identification
Produced
The for ing instru w nt al acknowledged before me
this J
A day of 2&�20by
Name of person aking statem t
Personally Known OR Produced Identification
Type of Identification
Produced
NA L R1NA t.
(Signature of Notary Public -State of Flori j ; Vic,° p�ARYz••, [mature of Notary Public- State of Florida) �co •�ARyN
Commission No. �a ��(QI et) ,�,+ ;Commission No.[a 6-a� C ��� (Se
SABRINA L. BLACK : o:•o #GG2a9862 'kz SABRINA L. BLACK =o za9862
REVIEWS FRONT ZONING///F ���\PLANS VEGETATION SEA TURTLE �i G Under;
COUNTER REVIEW ��PIFlAffiW00 REVIEW REVIEW REVIEW � l al
DATE E
RECEIVED I
DATE
COMPLETED I
Rev. 8/2/17
n.