HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICAB�E INFO MUST BE COMPLETED FOR APPLICATION TO BF ACCEPTED
gate:
uMIL N b ItWhow
!R rele;ZN a W N% C%
� V�, Tf9::N P
jp;, e r inn Udgnt; F ;1 A �on
vj
Planning and DevelaDMien � Services
Building and Code Regulation Division
2.300 Virginia Avenue, Fors Pierce FL 34982
Phone: (772) 462-1553 Fax-, (772-) 462-1578
PERMIT APPLICATION FOR:
P RO POSED' ...I.M
Address: 31
Commercial
he
P-R'0VEMENT--L0CAT_---.1
ON:
Residential V
out Like Tor Like
PrPropertyTax ID #: S%�
Site Plan Name:
PrDject Name:
:DETAILED QESCR1Pl"LoN OF 1AfO.RI<:.
S F
o
4 E
0
t
Now Eloctrical Meter Second Electrical Meter
C�
CGi1ISTPlS�TI�IV INFC:3RMATI�N:-_
wor(< -to be performed under this permit --check all that apply:
Miechanical � Gas Tank � has PIPing � ShutLers
1 e c t ri
Plumbing
Total Sq. Ft of Construction.
Cosy of Construcition:
sprinklers
Generator
Lot N o. —f
Block No.
Windows/Doors Pond
Rood Pitch
Sq. Ft. of First Floor:
Utilitles-. _ Sewer _Septic Building Height:
OWNER/.'
LESSEE• CONTRACTQR.:- _ -- _
Namevie r' � Name:James Snyder
Address: ��I���/(�L� t' Ct • Company:Snyder's Cooling and Healing, Inc.
City: {P�l{� t C��a � State: �!Address: P.O. Box 2007
Zip Code: J�l�57,�- t� Fax: C�ly: Fort Pierce S�ate:FL
Phone No.KU"" �/�Oy �j'I l(� � Zip Code-. 34954 Fax: 772-600-4811
E-Mail: I Phone No772-528-3377
Fi11 it fne simile Title Holder on next page (it different E-Ma i I snyderscooiing@aol.com
frorrt .he Owner fisted above} I State or County Li ce n se CAC 1816579 12641 Aj
1 i vdiuu o y caristruction imore, a RECORDED Notice of Commencement is required.
If value of HAVC " # T
e is required.
� SUPPLEMENT AL CONSTRUCTION LIE-N LAW INFORMAT ION:
D E S I G INLR/E�1Gtri\jEER: 'Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SHMPLE INHOLDEMER:
Name:
A d d r e'S S'*'
City:
ZF
gyp: Phone:
'Not Applicable
Me 0 RG AG C 0 TV! P A N it -as
Name:
Address:
✓ Not Applicable
01ty'a, State
s
Zip: Phone:
BOINDiNG COMPANY:
Na
Address:
city:
zip--. Phone-,
✓trot Applicable
OWNER/ CONTRACT OR 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".
St. Lucie County.makes no representation that is granting a per-mit will authorize the permit holder to build the subjec� structurewhich is in eonfliCt with any applicable Home Owners Association rules, bylaws or and covenant-s that may restrict or prohibit such
structure, Please consult with your Horne 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 will, in all respects, perform the work
in accordance with the approved plans, the Florida Bu-11dina0 Codes and St. Lucie County Amendments.
Thefollowing building permit applications are
exempt from undergoing a Sul!
concurrency review: roam
additions,
accessory structures, swimming pools, fences,,
walls,
signs, screen rooms and
accessorr uses to another
non-residential use
WARNING s' 0 OWNIER: Y our failure -to Record a Notice of Commencement maV result in your paying t.-wice for
improvements to your property. A Notice of Commencement- mint be recorded and posted on the jobsite
before the first insnmction. If you intend to obtain financing, consult with lender or an a�torney before
coi Mmm�ncin� wor or rec rdin your notice of Commencement,-00
fur wnerf Lessee/Contractor as Agent for Owner
STATE Jr FIORI
CO U NT1( 0 F �<
r-, f--% .— e r r4 i ,- % r-w i ,.. . ,rt • , %0'% -. W-. , .. — — — —1 _ — _ _ ..1 — A
COMPLETED
Rev. 8/2/17
nature of Contractor/license Holder
STATE OF FLORI
COUNTY OF
UL c.,