HomeMy WebLinkAboutHalleran - 1007 Coral Street SLCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: q ��Jaoa I Permit Number:
L��477
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: A/C Change out - Like for Like
PROPOSED IMPROVEMENT LOCATION: n
Address: ���~% D( (Srte-O�i
Property Tax ID #: (3qo 3 - 56A - Ua(o '?\ - ncz - l Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
P-eV li-3 1 �k 5 1�Lo
Additional work to be performed under this permit- check all that apply:
vNlechanical _ 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: $ �, �Q Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name i I a-1 2.V0..Vl
Name:James Snyder
Address: W 7 In -o(o-L <<j
Company: Snyder's Cooling and Heating, Inc.
City: �. .'o _�e State: R.
Zip Code: Fax: �-
Phone No.'7'7- 7 D 9 . D 5-7 ;
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 CAC1816579 / 26414
vuiuc u1 wnstruLTion is e5uu or more, a KtLUHUtU Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION 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:
_ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
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 County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or --'an attnrnev hefnrP rnmmanrina xmnrk nr rarnrrlina vni it Nlntira of (-nmmPnrPmPnt
Sig o Owner/ Lessee/Contractor as Agent for Owner
Sign il�ractor/License Holder
STATE OF FLORIDA
COUNTY OF LUL(_-j Q
STATE OF FLORIDA
(S) .
COUNTY OF
Swot to or affirmed) and subscribed before me of
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Sword to (or affirmed) and subscribed before me of
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Physical Pres nce or Online Notarization
this day of Iri 2021 by
physical Pres ce or Online Notarization
this s day of r; 202J by
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Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identificatg���
Personally Known '/ OR Produced Identificati�ihti�ll►!�'��
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