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Building Permit Aplication
All APPLICABLE) INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: YMADa'l Permit Number: Z \Ir. LL LLc. 7"" PL7 U fi` L k. -� Building Permit Application Planning and Development Services Building and Cade Regulation Division Commercial Residential 2300 Virginia Avenue, Fart Pierce R 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: A/C Charge out - Like for Like [PROPOSED IMPROVEMENT LOCATION; Address: NF- �-A.LA�— Property Tax ID#: 1 -J5-70 - DI0d - b 0C) <Z Lot No.1-12 Site Plan Name: Block No. $ l Project Name: DETAILED DESCRIPTION OF WORK: n ' b OWL YA aAl b0; 4k 54J h ea4tA,- 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 — Electric — Plumbing —Sprinklers — Generator _ Roof Total Sq. Ft of Construction: Sq. Ft, of First Floor: — ©�o Cost of Construction: $ 3 d b. _ utilities: _Sewer _Septic Building Height: Pond Pitch OWNER LESSEE: CONTRACTOR; Name 0, A c-,,- tbje- 7- j Name:dames Snyder Address: Q . Company:Snyder's Cooling and Heating, Inc, City: � C�4 State Zip Code; Fax:' Phone No. Address: P-O- Box 2007 1 City: Fort Pierce State: FL Zip Code: 34954 Fax: 772-600-4811 Phone No 772-528-3377 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail snyderscooling@aol.com State or County LicenseCAC1816579 / 26414 vueua ui Uun:crUU[1on is /-�uu or more, a K1:LUKutu Notice of commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. 6 SU'PPLEMENTALCO,NSTRUCTI N LIEN -LAIN INFORMATION. DESIGNERIENGINEER: V Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE FOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: 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. 5t. 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 Co y and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with I er ran attorney before commencing vuorl< or recording yo r Nptice of Commencement. g ure of Owner/ Lessee/Contractor as Agent for Owner Lure of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF 5wor o (or affirmed) and subscribed before me of swor (or affirmed) and subscribed before me of Physical Prese or Online Notarization thisAIV day of �Ozf by I h slcal Presencglor Online Notarization this A' da of Z©24 by J IAI— I Name of person making statement. Name of person making statement. Personally Known y � dR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Pr ced 10\Ai3riNl/✓✓ice Produced \ ..iltiiiillN#►1! •' cor�iry,;: ✓ < i ,_ y {Signature of Notary Public- State of Por�a x Ignature of Notary Public- 5tate of i0 s%;'• �� Commission No&6F T ��= o ea �o- n r Commission NO. (/�� -y1 (�(j ;( oa 0 � . LJ 1 l� D L�,u � 862ZZ I" REVIEWS FRONT COUNTER I tea'-..��tn�u �s ...'F ZO�*''S' ,� �[�E��i���S(� PLANS VEGETATION y� SEA TURTLE ✓✓ T'•�:'.',�;';°'.••' �� ��� '� REVIEWij/;'I 0 ,REVIEW REVIEW REVIEW DATE € RECEIVED DATE I COMPLETED ev.