HomeMy WebLinkAboutJurewicz - 133 Queen Christina Ct SLCAll APPLICAS E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Gate: �� °r� s � �' � Permit Number:
117FC U; C�_I _
Building Permit Application
Planning and De+ el ment Services
Building and Code Regulation Division
on
.300 Virginia Avenue, Fort Pierce FL 34992
Phone: ( 4 -155 Fax: () 462-1578
Commercial
Residential 1�
PERMIT APPLICATION FOR: /\/C Change out -Like for Like
PROPOSED IMPROVEMENT LOCATION;
Are:
Property Tax lD#:_N " -7D/ o 00 79 —00 b •0
Site i ianName:
Project Name:
Lot No. 44
8iocic No. _ct
DETAILED DESCRIPTION OFiJVDRK: -A-t C, chaf"*=— U
New Electrical deter Second Electrical meter
CONSTRUCTIO.N.INFORMATION:
Additional work to be performed under this permit — check all that apply:
100'Mech ni al Gas Tank
Electric
Plumbing
Total Sq. Ft of Construction. -
Cost of Construction: $ , y�D
Gas Piping
Sprinklers
OWN ER/LESSEE.;
Name G Z.
Address:
City: State:
Zip Code: - Fax: .--�
Phone No. ��
z( DbN
Shutters
Generator
Windows/Doors
Sq. Ft. of First Floor:
Utilities: Severer � Septic
E-- it a i l : .��--
Fi1l in fee simple Title bolder on next page (if different
from the Dinner listed above
CONTRACTOR:
Name:James Snyder
Roof
Building Height:
Pond
Pitch
Company: Snyder'Snyder's Cooling and Heating, Inc. --
Address: P.O. Box 2007
City: Fort Pierce State: FL
Zip Code: 34954 ray: 7 - 0{-4 11
Phone No --7
E-MalI nyder cooling@ oi.Dora
State or County License CAC 1816579 126414
It value of construction is 500 or more,. a RECORDED Notkr= of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENT',AL:CaNSTRU_CT[ON LIEN LAW INF-.aRMATfQI�. -. - -
DESIGNER/ENGINEER:
Not Applicable
la rye:
Add r ss:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
city;
Zip: Phone:
MORTGAGE COMPANY: : Not Applicable
Name.
Address:
City: States
Zip: Phone:
BONDING MPS mot Applicable
Marne:
Address;
city: --
Zip: Phone:
OWNER/CONTRACTOR A IDVIT: Application is hereby made to obtain a permit to do the rorl and installation as indicated.
l certify that no work or installation has commenced prior to the issuance of a permit .
t. Lucie Count makes no representation that is granting a pe'r pit will authorize the permit holder to buiid thesubjectstruct re
which is in conflict with an applicable Home Owners Assoc lation rules, bylaws or and covenants that may restrict or prohibit such
structure, Please consult rev th your Home Owners Association and review our deed for any restrictions which m
In consideration of the granting of this requested permit, I do hereby agree that I a it I, in all respects, per -form the work
in accordance with the approved plans, the Florida Building odes and St. Luc-e County Amendments.
The following building permit applications are exempt from undergoing a full cancurrency review room additions,
accessory structures, swimming pools, fences, galls, 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 ents to your property. A Notice of Commencement rust be recorded in the public records of St.
Lucie County and posted on the Jbite before the first inspection. If you intend to obtain financing, consult
with lender an attorney before commencing work or recording your Notice of Commencement.
lrf of Omer Lessee/Contractor as Agent for 0vfnr
STATE F FLORID
COUNTYOF
Serer o (or affirmed) and subscribed before me of
_ Ph sisal Presence or Online l Notarization
this ay of 2024 by
INdITlear person maicing statement.
Personally Known
Type of Identification
Produced
r
i�ur of Contractar/License Holder
STATE OF FLORIDA
U CITY F
ror to (or affirmed) and subscribed before me of
P ysicai Presence -or Online Notarization
this day of i r 2024 by
Marne of person making statement.
ent.
OR Produced #denti ' W41 Personally Known �� R Produced iden ' ' NI'l11
ON , 1 � = Type of Identification � Ai {
Produced
#' _ ;` • S �#„'i4 + � - � � ..ram � w � �] �� `
(Signature cf Notary Public- a[7- of l=t da;
Aw
Commission No. &&&C19&;1.1 6
a-' iTl)'. 6 v0ly tbf)
L/RINA r ;ty sJ11da1�•��ri �* �
• • y t ■ • #
R E IEWS FRONT ZONING SUPMVISOR
ECOUNTER I REVIEW REVIEW
DATE
G
RECEIVED
DATE
COMPLETED
i
4gnature- of Notary Public- State of
!;�bmmission No.
0,
SABRINA L. BLACK 00
PLATS VEGETATION SEA TURTLE MANGROVE
I EViEW REVIEW REVIEW REVIEW