HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: gN41at) go Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 349$2
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: k (C, ` aJ—
PROPOSED IMPROVEMENT LOCATION:
Address: 590 i cSGL, i ,5 jaw i>W�e `'ir• 3Q9
Legal Description: 1'10 � n0 �i 1i�rQ�S � 6� -'wo -7
PropertyTax ID##: I31Z -91),A - 803L4 - 00Q- 9 Lot No. o?7
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF W.0RK:
A,c. Lh a off"— u � Aov-b r-e.
CONSTRUCTION INFORMATION:
A itiana wor to eej orme under this permit- check a apply:
ZHVAC j_i Gas Tank ❑Gas Piping Shutters a Windows/Doors
F1Electric 0 Plumbing [:] Sprinklers Generator 11 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 5 q 1) [) . ___
S Ft. of first Floor: _
Utilities:ESewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name _si J�
Name: James Snyder
Address: 6902Company:
Snyder`s Cooling and Heating, Inc_
City: r Lw&-e_ State:�Pl ,
Zip Code--& 9 JAI Fax:
Phone No. ??ot - 33A - � to 79
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 / #26414
--aEuc U$.unV.Le u1.uun is ,cauu or more, a KLLUKUtu ivotice or commencement is required.
SUPPLEMENTAL CONSTRUCT LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: � of Applicable
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 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 ail 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 roperty_ A Notice of Commencement must be recorded and posted on the jobsite
before the first ins ion. If you intend to obtain financing, consult with lender or an attorney before
commencin w o recording our Notice of Commencement,
Dwner/ Lessee/Contractor as Agent for Owner
gna Contractor/License Holder
LVE
F FL J
�TATE OF FLORIDA j
COUNTY ClFt t~- t/� �t 2�
COUNTY OF L--#"-tom �
The forgoing instr men was pc^know,ledged before me
this day of WJk9� , 2Q,i0by
The forgoing instrument as acknowledged before me
this � day of c�..e_ 1 f111b-9-*' 20_-�o by
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SKa
,
making1tatement
a�•�s l...._.
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Name of perso
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Name of personmaking statement
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Personally Known OR Produced Identification
Personally Known OR Produced identification
Type of
entification
Produ elddentification
Produced fIALlgLly��
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(Signature Notary Public--
of State yorid �q�Aayzo ��
(Signature of Notary Public- State of Fi&i
Commission No. l O ��I {5aal} : *
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Comm€ssion No. �, p dedth i
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REVIEWS
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIE
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
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DATE
COMPLETED
Rev.8/2/37