HomeMy WebLinkAboutGelb - 5730 Sunberry Cir - SLCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I I I l 3) pZb � 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) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:A/C Change out - Like for Like
PROPOSED IMPROVEMENT LOCATION
Address: Q Oe v-ci fCAe, 1:;� P i e�v-,e� 3 qq,
Property Tax ID #: 13) a - 5DA - Q 0-' 9 - ooc)
Site Plan Name:
Project Name:
(DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CUNSTRUCTIC?N INFQRMATtON: -
Lot No. 50-7
Block No.
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:
Cost of Construction:
$ � 60
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 3 (t0 C I e-Vv'- i-L-C
Name:dames Snyder
Address: gD �t-i G�iK-
Company:Snyder's Cooling and Heating, Inc.
City:-� �ck St te: NY
Zip Code: I y513 q Fax:
Phone No.-1-7cP, - QDS - cP-tPJq
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 CAC1 816579126414
IT value or construction is Z500 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 LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
Not Applicable j BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
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 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 1p your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Count d posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with len r an attorney before commencing work or recording your Notice of Commencement.
�Lessee/Contractoras
Oirr�eofowner/ Agent for Owner
ure of Contractor/License Holder
STATE OF FLO _
t,
STATE OF FLORI 1
COUNTY OF LL),LA e—
COUNTY OFF
n to (or affirmed) and subscribed before me of
Swor o (or affirmed) and subscribed before me of
Physical Pre se or Online Notarization
this day of D J.tN 2020 by
Physical Presen e or Online Notarization
this 13� day of_bID&VA 2020 by
l �.1( Q_5 SW (Ae"V-
v��s—s5WJe)V-
Name of person making statement.
Name of person making
Personally Known I,""' OR Produced Identification
statement.
Personally Known V OR Produced Identification
Type of Identification
Type of Identification \011111111/�j
Pro uced N�X�P�R�NAIlB44'
Produced
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ignature of Notary PublicState of FAr7ida� 4� � ``' :
ignature of Notary Public- State of Floric_Ta�r .•
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Commission No, (�Seaj) #GG28 62
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