HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Ao)"';q Permit Number:
9-1� LLU,CUiL t.
wilding 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:-/ ' - sIOQZ. (
Property Tax ID #:c/ qo - va• c)ou ',S Lot No."-? q
Site Plan Name: Block No. 90
Project Name:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
vlechanical _ 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: $ z//'50 , 00 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name
Name:James Snyder
Address: 6
Company: Snyder's Cooling and Heating, Inc.
City c5 L State: ��
Zip Code: 3 q Fax:
PhoY`7� '. G, z _ ag':� a-
E-Mail:
Address: P.O. Box 2007
City: Fort Pierce State: FL
Zip Code: 34954 Fax: 772-600-4811
Phone No772-528-3377
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 CAC1816579 / 26414
It vdiue yr construLuon is /-5uu or more, a KtLUKUtu 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: _ Nat Applicable
Name:
MORTGAGE COMPANY: _ Nat Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: _Not Applicable
Name:
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 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 your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Cou y and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lenor oro attorney before commencing work or recording vour Notice of Commenrement.
ure of Owner/ Lessee/Contractor as Agent for Owner
re of Contractor/License Holder
STATE OF FLORI A
COUNTY OF���-,
STATE OF FLOR�I
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COUNTY OFy . e--
Swor o (or affirmed) and subscribed before me of
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 10 day of , 2024 by
Physical Presence or Online Notarization
this _L_Q day of �n� 202t by
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Name of person making statement.
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Personally Known ✓ OR Produced Identification
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