HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: —IV.1. I I I I a, Permit Number:
Building Permit Application
Planning and Development Services
Building and Cafe Regulation Division Commercial Residential
2300 Virginia Avenue, Port Pierce FL 34-982
Phone: (77 ) 4 -1 3 Fax: (77 ) 46 -1 7
PERMIT APPLICATION FOR: A/C (change out -Like for Like
� PROPOSED IMPROVEMENT-LOCAT#GN: -
Address: r ��jq q q
4u -a-pi ____1 -
Praperty iax I #: � v� cS —�D � �' � � [ GJ - D D D _ ''
f Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter
rA
4 /
Second Electrical Meter
WJ,/ Ar-N
CpNSTRiJCT1Q.N IN FORMATI ON:
Additional work to be performed under this permit — check al that apply;
Vlechan9cal � Gas Tank _Gas Piping _Shutters � Windows/Doors
Electric
Plumbing� Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: A
OWNER/LESSEE.:
Nam5-�Lil
addresA
I /)
Generator
q. Ft. of First Floor:
Utilities: Sewer Septic
I CONTRACTOR:
city:
State
Zip Code: Fax:
Phone N --7, 1 - 'Z5O--7
E-ail:
Fill in fee simple Title molder on next page ( if different
from the Downer 111to l 2 e )
Pond
Roof Pitch
Building Height:
Name -James Snyder
Company: Sn is Cooling and Heating, Inc.
Address: P.O. Box 2007
city: Port Pierce
at: FL
Zip Code: 34954
Fax: 77 --6 0-4'I1
Phone 1 o 772-8-77
E-Mail sn d r ooling a@ oi. orn
State or County License CAC 1816579 f 26414
If value of construction Is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice f Commencement is required.
SUP PLENiENTALCONSTRtJC DN LlEN LAW INFORMATION:
DESIGNER/ENGINEER.- Not Applicable MORTGAGE COMPANY:
fr:
Address:
City- State:
I P= Phone
FEE SIMPLE TITLE HOB. E : Not Applicable
Name:
Address:
City:
Zip: Phone:
Not Applicable
Name:
Address:
City: State;
Zip: Phone:
BONDINGCOMPANY:
Name:
Address
City:
Zip:
■ ari
! Nat Applicable
OWNER/ CONTRACTOR AFFIDVIT'. Application is hereby made to obtain a permit to do the work and installation as indicated.
I certifV 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 struct.ure
which is in conflict with any applicable Hone owners Association rules, bylaws s or and covenants that may restrict or rohibi such
structure. Please consult with your Horne Owners Association and review your deed for any restrictions Bich 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 f u I I ccncurrency review: room aMtions,
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 SIA.
Lucie County a }posted on the jobsfte before the first inspection. If you intend to obtain financing nsult
with lender n attornev before commenclu work or recordin o_w Notice of Commencement.
of Owner Lessee/Contractor as Agent for owner
"ATE of FL RI
COUNTY of f
* L.A� 414 L,
Swqx-n to (or affirmed) and subscribed before me of
Physicai Present or Oniine Notarization
this J day of �l, v.-t,� 202f by
Name of person making statement.
Personally Known
rn
Type of identification
Pro ced
OR Produced identification
bre o' Con tractor/License Holder
STATE OF FLORIDA
COUNTY OF _ L(•t.Q_.
wo (or affirmed) and subscribed before me of
_ P ysicai Pre en r online Notarization
this day of 2021b
EM
Name of person making tote ent.
eAel"�'
Personally mown _ R Produced Identification
Type of Identification
PI- duced
B R {
(Signature f NotaryPbll- state id. �.. �` ,.•ter , '••; , � ,* (Signature of NotaryPublic- state of Florid
mmission No. i F9 deal Si q
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REVIEWS FRONT ZONING ' �� PLANS VEGETATION SEA TURTLE
COUNTER REVIEtlt! ; ,, #':�1 � ,. REVIEW REVIEW EW REVIEWCJ
DATE h s
RECEIVED �
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DATEh +I
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COMPLETED _
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