HomeMy WebLinkAboutBuilding permit appAll APPLIC BL INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: &.1 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: J "G'P_ LAV
Property Tax ID #k?io `7 - 7D A - 00 11 - 00D ' I Lot No. I �--
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
, S $-Uy-\ LDS ; 4) c S k-LO
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additio I 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:
Cost of Construction: $ /_/' 10 v --�® Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name o_f-� hrY�aA--
Address: L 3 DS fle.- e,eC L-•v\-•
Name:damesSnyder
Company:Snyder's Cooling and Heating, Inc.
City: . Y i occe - State:EL
Zip Code: 6LA Cll� I Fax:
Phone No. %_7c� - LAU I - ,SLl SV
Address: P.O. Box 2007
City: Fort Pierce 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 CAC1816579126414
If value of 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 CONSTRUCTI N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable I MORTGAGE COMPANY: _ Nat Applicable
Name:
Address:
City: State
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: -Not Applicable
Name:
Address:
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,W your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Count njposted on the jobsite before the first inspection. u intend to obtain financing, consult
with len r ololn attorney before commencing work or recor " our ce of Commencement.
i
0.nature
ture of Owner/ Lessee/Contractor as Agent for Owner
of Contractor/License Holder
STATE OF FLOR1i1IA _
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STATE OF FLORID I
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COUNTY OF_ �-
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COUNTY OF , _ LA
Swor o (or affirmed) and subscribed before me of
Swor o (or affirmed) and subscribed before me of
P Vsical Preuen or Online Notarization
this —day of D.uw�c�/�� . 2021� by
Physical Prg4eAee or Online Notarization
this � ay of L�/l��,✓ 2024 by
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Name of person making statement.
Name of person making stateme t.
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Personally Known OR Produced Identification
Personally Known ►l OR Produced Identification
Type of Identification
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Type of Identification
Produced
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(Signature of Notary Public- State oi�Florf `� ',
gnature of Notary Public- State of Flofda
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