HomeMy WebLinkAboutBuilding PermitSUPPLEMEt���� COIVSTt�U.C_k � L1FN 1.I�W TNF�JRMA�'(Q[�:
i3�5tG1"M`G4' /ENGlNEER: Z 0 Not Applicable
Name:
Address:
City: State: _
Zi P: Phone
FERE SIMPLE TITLE HOLDER:' U/Not Applicable
Names
Ad d press:
City:
ZIP:
MORTGAGE COMPANY, ✓Not Applicable
Name:
Address:
City: State:
zip"
Phone.
BONDiNG CONd�"I���':
"Not Applicable
Name:
Address: A
City:
Zip: Phc ne.. -op- W.
0"vVN,F..R/ C"ONTRACI'OR AFFIDVIT: Application is hereby made to obtain a permit t-o do the workand installation as indicat-ed.
1 certify that no work or installation has commenced prior to the issuance of a permit".
fit. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Whichis in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
s�ructure. Please consult with your Home Owners Association and reviewyour deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree t-hat 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: Hoorn additions,
accessory structures, swimming pools, fences, wails, signs, screen roomy and accessory use,; to another nog -residential use
WARNING, OT O OVVNERe, Your faflure Im Record a Notice of Commencement* may result in paling twice for
improvements to our property. A Notice of Commencement must be recorded �n the public regards of St.
Lucie County flsted an the jobsite before the fir&t- inspection. if you intend to obtain financing, consul
with lende an attornev before commencing work or recording yourkotice of Commencement.
��e'af Owner/ Lessee/Contractor as Agent for Owner
�`F A IZ3_0I I
COUN
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Swor (or affirmed} and subscribed before me of
Ph ,stPresence r Online Notarization
this day of � 2020 by
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dame of person making state ens:.
Personally Known � OR Produced Identification
Type of Identification
Pro4uced .,
Nq!!19l1160f/
B�IiJq� 1%ir✓i
WrT�'efi Contractor/License Holder
STATE,,. OF 1F1t1= t R J
COUNTY OF
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Swo r to (or affirmed) -r_nd subscribed before me of
hysical Prue or Online Notarization
this l day of 2024 by
GLA(V�4e,,:t>
Name of person making sta-Uement.
OR Produced Identification
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DATE
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DATE
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All APPLICASL INDate:�
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F01 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Planning and Developmen-t Services
Building and Cade Regulation Division
2300 Virginia A venue, Ford P9'
ierce FL 34982
Phone: (772) 462-1553 Fax: (772} 462...1578
Commercial
Residential
PERMIT APPLICATION FOR: �C �����a�, Q{�t � Like 'BoK° Li��
PR-`0_-__P-0SE-D".1'M.P-'R'OVEMENT LOCALT-1QN::.
Addressl
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Property i ax ID #:
Site Phan Name:
Project Name:
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Lot No._ qo
Block No. �J
DETAILED D-1ESC_R(PT1.t3N C7�-W(3�tK: - -
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New Electrical Meter second Electrical Meter
CQiVS7'RUCTION INFC)RN[AT10N
Addi"-cio I work to be performed under this permit --check all that apply:
A
Mechanical � Gas Tan{ _ (3as Piping � ShutLers
I e ct ri
_ Plumbing
Total Sq. Ft of Construction:
Cast of Construction: $ � � �
Sprinklers
Generator
Windows/Doors Pond
Roof Pilch
Sq. Ft, of First Floor:
Utilities: � Secret' � Septic Building Heigh;
01Nf�E.R-/-.iESSEE. -. _ e�N�'RA�TE7R� .-
Name �C y
Address: 45
City: 19t1+'
v • --a '_may+.� - _ - - .i �' _ - • + _ _ 'T _ - '� , Y � a _ ' T - - _ - - ._ - � � � _ - - - _ � .. _ � � -_ - �r • - _ � � .� � - - ,-- _ -_ _ , - cte Name:James Snyder
- I�., . Snyder ' C-li andHeating,Inc.
Cow
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State, Address: P.O. Box 2007
Zip Code: �:c-j-y: Fort PiercejrIL State: FL
r V$ D1 i
'� � �. fir.,. �'
Phone No,34954
Zip Code,&
E-Mail:
Fill in gee simple Title Holder an next page ( if different
from she Owner lisped above)
Phone N0772-528-3377
E-Mail snyderscooling@aol.com
Slate or County License CAC1816579 126414
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVE is $7,500 or more, a RECORDED Notice of Commencement is required.