HomeMy WebLinkAboutMcLaughlin - 6012 Sunset BlvdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: q I ACII OIDo o Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1578
PERMIT APPLICATION FOR: A/C Change out - Like for Like
PROPOSED IMPROVEMENT LOCATION} : } p
Address:
Property Tax l Q #: lJl Q I — Ob 90 — OW - 5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
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New Electrical Meter Second Electrical Meter
CONSTRUICTION INFORMATION:
V/"
Lot No._A
Block No. 71
Additional work to be performed under this permit —check all that apply:
✓Mechanical __.. Gas Tank —Gas Piping Shutters Windows/Doors Pond
Electric _ Plumbing Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cast of Construction: $ C> 0
__ _ 65V • I
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
WNE'R/LESSEE:
CONTRACTOR:
Name tk1 Ol 6L 1w
Name:James Snyder
Address:
Company:Snyder's Cooling and Heating, lnc.
City: � �� ¢ TL State: f7i .
Zip Code: '3 O v�— Fax:
Phone No. T?A - 3?Q - 1,25 as
i
Address: P.O. Box 2007
City: Fort fierce State:FL
Zip Code: 34954 Fax: 772-600-4811
Phone No772-528-3377
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 CAC1 816579 126414
it value or construction is ZSUU or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CON5TRUCTI N LIEN. LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER; V Not Applicable
Name:
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 do the work and installation as indicated.
} 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lend_,ebr 4n attorney before commencing work or recording vour Notice of Commencement.
;&�Ow�nerl
re Lessee/Contractor as Agent for Owner
t of Contractor/License Holder
STATE OF FLORID
COUNTY OF
STATE OF FLORIDA
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COUNTY OF�5 I e--
Swami to (or affirmed) and subscribed before me of
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Swoya-to (or affirmed) and subscribed before rite of
Ph sical Pre se ce r Online Notarization
thi day of 2020 by
Physical Presence or Online Notarization
this -2q day of 2020 by
Name of person making statemen .
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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