HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 8E ACCEPTED
Date: bi � � � � Permit Number:
Building Permit Application
Planning ond Development Service
Building ond Code Reulatron Division Commercial Residential
2300 V rghnic Avenue, Fort Pierce FL 34982
Phone: ( ) 2-15 Fax: (772) -157
PERMIT APPLICATION FOR: A/C Change out - Like for Uke
PROPOSED IMPROVEMENT LOCATION:
Address; � - � � �
Property Tax ID : - oo3x Lot No. I
Site Plan Naas: Bloch No. 5
Project Name:
DETAILED DESCRIPTION OF -WORK:
A
Mew Electrical Meter
sa-e-,- W� J-1-, S KLA
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additio al work to be performed under this permit —check all thatapply:
Mechanical Gas Tank
Electric
Plumbing
Total Sq. Ft of Construction:
C
Cost of Construction: $ 55C, -
QINNERAESSEE
Name
Address:
Gas Piping
Sprinklers
City: State:
Zip Code:
Phone No,
Fax:
l PD
Shutters Windows/Doors Pond
Generator Roof PI Bch
S . Ft. of First Floor:
Utilities: Sewer Septic
E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
.I. -CONTRACTOR:
Marne: James Snyder
Building Height:
Company: Snyder's Cooling and Heating, Inc.
Address: P.C. Box 27
City: Fort Fierce State: FL
i p Code: -T . ., Eaxp 7 2- 0 11
Phone No 72- 2 - 377
E-Mail snyderscooling@aol.com
State or County License CAC' 816579 126414
--...
If value of construction is 2500 or more, a RECORDED Notice of Camrnencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Cornmencementis required.
St1PPLEMEN iALC0NSTRUCT�N UM LAW l�i�QRMATf0E
FIFA:
Name
Address.
City:
Zip: phone
FEE SIMPLE TITLE HOLDER:
Name:_
Add res -..- --------
City: —
Zip: Phon:
Not Applicable
Stet
!plot Applicable
MOT A E COMPANY: %,00' Not Appliabl
Name:
Address:
City: State.
Zip; Phone. -
BONDING COMPANY: ver" Not Applicable
Name:
Add ress:
city:
zip. Pore:
Ali CONTRACTOR A TO 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.
t. 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 @ny qp licable Home owners Association rules, bylaws or and covenants that may restrict or prohibit such
structur with your Home owners Association and review your deed for any . Please consult restrictions which may apply.
In consideration of the granting of this requested permit, l do hereby agree that i will, in all respects, perform the wort
in accordance with the approved plans, the Florida Building Codes and St. Lucie Counter Amendments.
The following building permit applications are exempt from undergoing a full concurrenc review: room additions,
accessory structures, swimmina 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
innprcvements to your property. A Notice of Commencement rust be recorded in the public records of St.
Lucie County nd posted on the job it before the first inspection. If you intend to obtain financing, consult
with lend " car an attorney before commencinR work or recordinR vcwr Notice of Commencement.
e of Owner Lessee/Contractor as Agent for owner
STATE OF FLORI
COUNTY of LA
wor to for affirmed) and subscribed before me of
h lcal Pres Or online l otarri cation
this ay of ..,.._,��2021 by
I a of person making in tatement.
Personally Known �01R Produced Identification
Type of Identification �t�11 � I
Produced _+
.... , ..
{Signature of Notar-,, Public- State of F r-fd . .C'
411iiJIkJn 4YV. + G dll ,fVUL,
SI •.,'•'
} }
IEI EW S FRONTZONING �
o f TE l REVIEW 1 E 1 w
DATE
RECEIVED
DATE
COMPLETED
ear. 5/6/20
re o'Contra ctorLicerse Holder
STATE OF F L f f D
!� L_'L4,_ L41
COUNTYOF
wor to (or affirmed) and subscribed before me of
_�
Physical I�resenc or Online Notarization
t i s �da o b
Larne of person making statement.
X0
1
i mature o:�Sf NotaryPublic- State of Fl ed �' � r
*�
ornmission No.
ABRI '
P LA ! S VEGETATION SEA TURTLE� �
REVIEW RE VW f E VIEW Oa 1_6
Personal)Y Known ' � OR Produced identification
`hype of Identification
Produced