HomeMy WebLinkAboutBennett - 5103 Seagrape Drive SLCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater/a 0I,2,a a —I Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential 1�
PERMIT APPLICATION FOR: A/C Change out - Like for Like
PROPOSED IMPROVEMENT LOCATION:
Address: 510,5 2.
Property Tax ID #: —b % Lot No. '31
Site Plan Name: Block No. o?c5
Project Name:
DETAILED DESCRIPTION OF WORK:
e .
�� c,�s 10 lit. -) her. - e�
New Electrical Meter Second Electrical Meter
CONSTRUCTION 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:
Cost of Construction: $ --fir Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Names hl eU ( e1`10
Name: James Snyder
Address:
Company:Snyder's Cooling and Heating, Inc.
City: State:
Zip Code: Fax:
Phone No. TM - 52 1- 510 % 1
E-Mail: —
Address: P.O. Box 2007
I 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-Mailsnyderscooling@aol.com
State or County License CAC1 816579 / 26414
IT vawe or construction is zbuu 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) LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Nat Applicable I MORTGAGE COMPANY: , Not 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 to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and post on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an ornev before commencing; work or recording; vour Notice of Commencement.
S' a wner/ Lessee/Contractor as Agent for Owner
to Contractor/License Holder
TATE OF FLORIDA
COUNTY OF Of Lw c
STATE OF FLORID
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COUNTY OF
Swore to (or affirmed) and subscribed before me of
%7n to (or affirmed) and subscribed before me of
�O Ph sical Presence or Online Notarization
this day of jiip_�( 202 by
►o Physical Presence or Online Notarization
this day of �Qsfi ;� . 2021 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known ► `� OR Produced Identification
Type of Identification r,Nillll�IN
Produced
Type of Identification ��";y6ftldlJ//
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(Signature of Notary Public- State of Fk$rd f$,w N .
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'signature of Notary Public- State of Florid�)�•;
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SABRINA L. BLACK
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