HomeMy WebLinkAboutDavis - 8686 Andrews Ave SLCAPI APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I DI�-� (abao Permit Number:
5 I r. LITcL,IS
z. T Building Permit Application
Planning and Development Services V
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`:_ ��
Address: 26 n re-l�5 iQX� LI `11
S,
Property Tax ID #: 50 d — W3 S — QU) - O Lot No. 13114
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
W1
210'
New Electrical Meter Second Electrical Meter
LCONSTRUCTION INFORMATION:
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: Sq. Ft. of First Floor:
.o
Cost of Construction: $ LF (3 9 ®. Dd Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name I �v
Address: �(St V'eL35
Name:James Snyder
Company:Snyder's Cooling and Heating, Inc.
11
City: _�i-. iL�® State: �.
Zip Code: � q qSd Fax:
Phone No. `7'l� - '7 D - o
Address: A.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 LicenseCAC1816579 / 26414
IT value or construction is z5ua 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 CONSTRUCTI N 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: _ of 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.
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 thepermit 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 paying twice for
improvements to ypdr property. A Notice of Commencement must be recorded in the public records of St.
Lucie County an on the jobsite before the first inspection. If you intend to obtain financing, consult
with lenderjar before commencing work or recordinitiv6ur Notice of Commencement.
of Owner/ Lessee/Contractor as Agent for Owner f Contractor/License Holder
STATE OF FLOR A/ STATE OF FLORi,[}A�
COUNTY OF � COUNTY OF �, �--u L-4 k___
Swop to (or affirmed) and subscribed before me of
Ph sical Pre ce or Online Notarization
this day of � _ 2020 by
_ Jm�� 5 n
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced ���t �N� ioliv814
(Signature of Notary Public -State oflFlom'&
Commission No. F9! 610 _Pe' !)
REVIEWS I FRONTI ZONING
COUNTER REVIEW
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
thisPh sical Prese.{ce r Online Notarization
day of 1 2020 by
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
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(Wriature of Notary Public- State of Flofia j••
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