Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: -7 Ito e;� Permit Number: `= il. ` Building Permit Application Plonning and Development Services Building and Code Regulotion Division Commercial Residentia .2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1.578 PERMIT APPLICATION FOR: A/C Change out - Like for Like PROPOSED IMPROVEMENT LOCATION: I Address: C� o��ll��(� Property Tax ID#;. s7goA "�� F �� �t ©'� Lot No. D3 Site Plan Name: Block No. &u Project !Name. [11[AX91Afud' )%. ','�M P- e-,V tk-� ; �—" 16 )�ck) f� ech — New Electrical Meter Second Electrical Meter �C)NSTRUCTION �N�o�MaTiow:: Additional work to be performed under this permit -check all that apply: ,,Mechanical _ Gas Tank —Gas Piping Shutters _ Windows/Doors Pon _ Electric —Plumbing _ Sprinklers _ Generator Roof Pitc Total Sq. Ft of Construction:: ` Sq. Ft. of First Floor: Cost of Construction: $ . DIY D Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name:James Snyder Address: L1270 c�►'1 Company:Snyder's Cooling and Heating, Inc. Address:P.0. Box 2007 City StateR Zip Code: &4'9 Z)-- Fax: Phone No. ':7 f)j p --qL q - �c I City: Fort Pierce State: FL Zip Code: 34954 Fax: 772-600-4811 phone N0772-528-3377 E-Mail snyderscooling@aol.com E-Mail: - ---- Fill in 'fee simple Title Holder on next page ( if different from the Owner listed above) State or County LicenseCAC1816579 / 26414 It vdIUS OF Lonstrucuon is e5uu or more, a KLLUr ULD Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: � Not Applicable Name: Address: Address: City: State: City: State: Zip: Phone i Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: Zi p: Phone: OWNER/ CONTRACTOR AFFIDVIT: Appfication 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 strut ure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibi 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 will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and 5t. Lucie County Amendments. The following 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 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 recor s of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lencl�for an attornev before commencing work or recording your Notice of Commencement. re of owner/ Le/Contractor as Agent for Owner ignature of Contractor/License Holder STATE OF FLOii, i�ssee - STATE OF FLORID COUNTY OF c-1 'L_ COUNTY Swo o (or affirmed) and subscribed before me of Swor o (or affirmed) and subscribed before me of Ph ical Ares r Online Notarization this m ay of 202¢ by P ysical Preor Online Notarization this day of 2021 by &v- Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of identification Type of identification Prod ced ���r�,"tT�A L. a�l�/if�i �1all�h�4i ProducedZI 4 P►►►!! os�h�: ssi • �,� (Signature of Notary Public- State of Flcda }�G ��APr of Notary Public- State of Flola Commission No. {7U A1V'60C-'e0—=SealjGas P{Signature @_ No.� d r �W�S?�I) mmission xcc2sa 62 SABRINA L. BLACK -- �G2ssasz � SABRINA L. BLACK REVIEWS FRONT led :.gyp°tiLh�3�,...'� .. et ZONINt�x �A,t'pVt�.�` ` a PLANS VEGETATION f�9 SEA TURTLE'>+t1ET •.. ;c Un O COUNTER REVIEWif�1tQ `���\� REVIEW REVIEW REVIEW 6f4iilai`� DATE I RECEIVED DATE COMPLETED I Hev. 5/b/LU