HomeMy WebLinkAboutBerg - 2204 Oak Dr - SLCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10 I � ` Permit Number:
LcnC
i= Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: A/C Change out - Like for Like
PROPOSED IMPROVEMENT LOCATION:n
Address: �o ��� �/� ''� Pi QNl2 3q,? yq .
Property Tax ID #: / N31P - (POA - D O 3 S - C7b (7 ' S Lot No.
Site Plan Name: Block No. Y,3
Project Name:
DETAILED%
1� DESCRIPTION
ESCRiPTION OFWORK:
1A60V y,9)7Vv P:1 'S e-e,i ,,�
A JUS PJYI/1
New Electrical Meter Second Electrical Meter
CC3NSTRUCT�aN I:NfORMATIaN:
Additi al 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: Sq. Ft. of First Floor:
�o
Cost of Construction: $ a d Utilities: _ Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name:dames Snyder
Address: a;D H p L/e-,
Company:Snyder's Cooling and Heating, Inc.
City: State: r
Zip Code: 3ie L' 6) Fax:
Phone No. -77,� • S71 • i,,) -&La
Address: P.O. Box 2007
City: Fort Pierce State: FL
Zip Code: 34954 Fax: 772-600-4811
Phone N0772-528-3377
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailsnyderscooling@aol.com
State or County License CAC1816579 1 26414
it va+un yr construmun is tsuu or more, a xtLUKL)tu Notice of Commencement is required.
If value of HAUC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCT ON LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
uWNER/ € ONTRACTOR 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, 1 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County posted on the jobsite before the first inspection. If you.•nntend to obtain financing, consult
with lend an attornev before commenring work or rprnrrlinu %/mir intlro of (•nmmnnramnni-
of Contractor/License Holder
i re of Owner% Lessee/Contractor as Agent for Ownera
STATE OF FLOR
COUNTY OF (� •
STATE OF FLORID
COUNTY
OF
Swo P to (or affirmed} and subscribed before me of
Swor o (or affirmed) and subscribed before me of
ysical Prese ce Online Notarization
this day of 2020 by
Physical Presence r Online Notarization
this __Z� day of 2020 by
�� V � r� PJ✓
11
G�c� �� Gt- W
Name of person making statement.
Name of person making statement.
Personally Known .� OR Produced Identification
Personally Known
OR Produced Identification
Type of Identification
Produced
Type of Identification
'rv'����`5p8R►1j
roduced
y� SABR
MissiaC.O
l uq NF'•
.• �COMMISS. .6
o F .
'; (Si�ature of Notary Public- State of Florida �, �
(Signature of Notary Public- State of Florie� ao '
: �
= � °
Commission No. /c "
gg'� ,,��yy "P' i�.i.,. }; �, 2asas
•.
N
rEtnission No.
r oG6 aed thru
'•' ag
.Cn�g%����°
�� S,ABRINA L. BLACK
'
REVIEWS
FRONT
COUNTER
/,i
ZONING
lid ••....•••'o
���
\VIVEGETATION
os
S L
� •• "ervrs� •
` s • ""' �p2
\�
REVIEW
R
REEW
REVIEW
REVIEW
YIJIBVJ%\\
DATE
I
RECEIVED
DATE
COMPLETED
ev.