HomeMy WebLinkAboutBach - 7303 Georges Road - SLCAll APPI.JCAB E INFO MUST SE COMPLETED FAR APPLICATION TO BE ACCEPTED
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Date: �
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�!LL-LU $ �,
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Permit Number:
P e- r ri,,n A t
B U n d o ng
55 PP �ca �Ohl
Planning and Development Se'rvices
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Residential V
PERMIT APPLICATION FOR: ��� r,-41-�.����e o�..$� - Like �i]�' � ike
PR:OP.OS.E-D IMPROVEMENTLOCATION"; _
Address:_ eiit;v �icw &I. A LP: rt A 3q-q5/
ir-
Property Tax I D #: )3ol
te
Plan Name:
Project Namel
Lot
Block No. IS7
DE"�
!-�1�ED EmS-CRlPT10N OF:W�F�K: _ -t it 0'a
New Electrical Meter Second Electrical Meter
COSTNRUCTIONINFOR:NtAT(QN:7.1
A dditio 1 workto be performed under this permit-- check all that- apply:
� mectianical Gas Tank
I e ct
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ r L/D •
has Piping
Sprinklers
•
Shutters Windows/Doors fond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: Sewer Septic ill l L;
R,LESSEE. _ GONTRACTCJR:
Name C-h Name,,James Snyder
Address-, 1 *30 p� �S Company,, Snyder's Cooling and Heating, Inc.
City: ✓-� � e e-cc, State: �• Address.-P-0. Box 2007
Zip Code: 3 f W!0;10� Fax: i City: Fort Pierce State: FL
Phone No. � — S%- ((0 9 � Zip Code; 34954 Fax: 772-600-4811
E-Mail:
Fill in fee simple Title Holder on next page (iy diff erent
from she Owner 11sted above)
Phone N0772-528-3377
E-Mail snyderscooling@aol.com
State or County License CAC1 816579 / 26414
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value oil HAVC1's $7.,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION UE".0-N LAW INFORMATION:
D- E S I ezo".'N rr= Rif E N G I N E L' R: ,LZNotApplicahle
Name:
Address:
city& State:
Zipw
FEE SIMPLE"I"ITLE HOLDER: ✓Not Applicable
Name,
Address*
city:
Zip: Phone:
MORT GAGE COMPANY:
✓IVot Applicable
-Effipm-rpd�
Name:
Ad d rs
City: State:
Z I P Phone, T
BONDING C0[VPANY,,C.
vNot Applicable
iName:
Address:
City.
r
ZI-P-0 Phone:
OWN ER11 CONTRACTOR AFF1 D V� I : 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 w411, in all respects, perform the vior[c
in accordance with she approved pions, the Florida Building Codes and St. Lucie County Amendments,
The fallowing 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
VVARNING TO CWHIER:Your failure to Record a Notice of Commencement ml-=%V resulc in Vour paying -twice for
improvements to your properly. A Notice of Commencement mush be recorded and posted an the jobsite
before the first insp ction. If you intend to obtain financing, consult with fender or an attorney before
commencing vvor or rewrding your notice of Commencement.
Itu r caner/ Lessee/Contractor as Agent for Owner ,nature of Contractor/License Holder
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L��iJHf�u0�,-'��O5. �.-L�U� 2STATE
ORii�f�! C9F��.0 t4 C.
The fo going instrument as acknowledged before me
thi� Q�rnr
5 dad o� Gc h 2t�� by
�J Y
4 P - N--
Name of perso�OR
aicing statement
Personally Known Produced Identification
ry
Type of identi�icatiQn
Producer!
i he forgoing instrument was acknowledged before me
this day of nke, 2.0 91 by
C�J
Name of person making statement
Personally Known �_ DR Produced Identitication
Type of Identification
Produced �
I
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i3igriarure os Notary VUn[IG- Stag of i-Eorida J `ir�l11l1111111� {5ignature of Notary Public- State at Florol •s,• •' Akyss�o ' * 00t1wo
RINA
Commission No, _ �� � ( � .• ��, •. �mmission No. O� � O�D�-- � .�S� c``' '�a��•,
5, A, �, B R A L L
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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