HomeMy WebLinkAboutKidney - 6235 Arlington Way SLCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l l 5I oioo2 I Permit Number:
(�o11 P
L Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: A/C Change out - Like for Like
PROPOSEDIMPROVE ENT LOCATION:
Address: ) K lI o I iNG �lU.
Property Tax I D #: Lot No.�
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
e-
KL&) h
New Electrical Meter Second Electrical Meter
CONSTRUCTION 1NFORMATlON:
Additional work to be performed under this permit —check all that apply:
VeMechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric —Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
ao
Cost of Construction: $ Utilities: —Sewer _Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name lJOUn
Name:dames Snyder
AddressJ Vwn
Company: Cooling and Heating, Inc.
City: _��. i R-`-C'2— State: Fl,
Zip Code: c3g9 UC0 Fax:
Phone No. 2sn5 - -7<2<J — 55L1L1
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 816579 126414
IT value oT construction is 2500 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 CONSTRUCT
N LIEN LAW INFORMATION;
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
--"Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
_ii.Xt Applicable
Address:
Address:
City:
Zip: Phone:
City:
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 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 our property. A Notice of Commencement must be recorded in the public records of St.
Lucie County pqsted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lend r tornev before commencing work or recording viowar N.atice of Commencement.
of Owner/ Lessee/Contractor as Agent for Ownernature
of Contractor/License Holder
7TATE
OF FLORMA
COUNTY OF (' -. I-JU L19
STATE OF FLORID
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OF
Swo�to (or affirmed) and subscribed before me of
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Swo kto (or affirmed) and subscribed before me of
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Phvsical Pre�e or Online Notarization
this Vim' D-day of J 0-vNL�-a—v- 2020 by
Physical Presence or Online Notarization
this•, -day of J D...yvu�Lj 2024 by
�ey-
Name of person making statement.
Name of person making statement.
Personally Known P-----OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced 6:A,
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;Commission No #Gc289862
ABRINA L. LJLACp • o 289862
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