HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 7 1 ILO 1 a I Permit Number:
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4 - Building Permit Application
Planning and Development Services S
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78
PERMIT APPLICATION FOR: A/C Change out - Like for LICE-'
PROPOSED IMPROVEMENT LOCATION:
Address: D ! u. p— P 0• 30 C1E
Property Tax ID #: — sc0 - D LC) - C Lot No.
Site Plan Name: Block No. rI J,5
Project Name:
DETAILED DESCRIPTION OF WORK.:.
New Electrical Meter Second Electrical Meter
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit --check all that apply:
"Mechanical Gas Tank —Gas Piping Shutters Windows/Doors P
— Electric —Plumbing _ Sprinklers _ Generator _ Roof P
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ _477 �®, �. Utilities: —Sewer —Septic
Building Height:
:OWNER/LESSEE.'
CONTRACTOR:
Name
Name:dames Snyder
Address:
Company: Snyder's Cooling and Heating, Inc.
Address: P.O. Box 2007
City: QNG� State:
Zip Code: c 5L41`1c�, 0 Fax:
Phone No. -
E-Mail:
! City: Fort Pierce State: FL
i Zip Code: 34954 Fax: 772-600-4811
Phone No772-528-3377
E-Mail snyderscooling@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CAC1816579 126414
it value or conscrucaon is lsuu or more, a ttl=c:URUW Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCT.0 LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE BOLDER: ✓Not Applicable
Warne:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone -
OWNER/ CONTRACTOR 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 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 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 records of St.
Lucie County an steel on the jobsite before the first inspection. if you intend to obtain financing, consult
with lender o n attorney before commencine work or recordine vo4�fNotice of CnmrnPnr'PrnPnt-
I
o Owner/ Lessee/Contractor as Agent for Owner
5' ure of Contractor/License Holder
STATE OF FLORID -
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STATE OF FLORID
COUNTY OF U Q__
COUNTY OF
Savor o (or affirmed) and subscribed before me of
Swo�rto (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this I LP day of
✓ Ph ical Presence r Online Notarization
Itt tj6ay
2024 by
this of 2024 by
Name of person making statement.
Name of person making statement.
Personally [mown _',� OR Produced Identification
Personally Known �OR Produced Identification I
Type of Identification i\\\0%kk11 1111/f
Type of Identification eolililliPlfi/�
Prod ced \\�RINA[•B��i
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