HomeMy WebLinkAboutBuilding permit appAll APPLIC�BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: OQ 31� Permit Number:
S �- r. L c L
Q0 F? a_
L =� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential 1%
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1.578
PERMIT APPLICATION FOR: A/C Change out - Like for Like
PROPOSED IMPROVEMENT LOCATION:
1-11
Address: On iA� Vr U F G
Property Tax ID#:_2q) 5D1- 1-7DI - C)bc)'q
Site Plan Name:
Project Narne:
DETAILED D
New Electrical Meter
RIPTION OF 1JIl RK:
f
KL
�Jjc)J" 5 4 l_e.,v dQKu�
Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additio al work to be performed under this permit- check all that apply:
_"echanical _ Gas Tank — Gas Piping _ Shutters _ Windows/Doors
Electric Plumbing _Sprinklers _ Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4IL55®. __ Utilities: _ Sewer _ Septic
Lot No.-
Block No.
_ Pond
Pitch
Building Height:
OWNER/LFSSE
CONTRACTOR:
Name OJA
Address: U us qD�
Name:3ames Snyder
Company: Snyder's Cooling and Heating, Inc.
City: o r State.El
Zip Code: � 415,j _ Fax:
Phone No. TM SA <:;,) b MKn
Address: P-O- Box 2007
City: Fort Pierce State:l=L
Zip Code: 34954 Fax: 772-600-4811
one No772-528-3377
E-Mail: fflos 1
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
E-Mailsnyderscooling@aol.com
State or County License CAC1816579 126414
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required,
SUPPLEMENTAL CONSTRUCTPN LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER. Nat Applicable BONDING COMPANY: of 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.
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 St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: roam 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 and ed on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or attorney before commencing work or recordin yourNotice of Commencement.
ev.
S' caner/ Lessee/Contractor as Agent for Owner
ature of Contractor/License Holder
STATE OF FLt)RIDP� ,-
STATE OF FLORID l
�
COUNTY OF v � �-�I �
E COUNTY OF 1---1 �I
Savor (or affirmed) and subscribed before me of
54vor o (or affirmed) and subscribed before me of
Physical Pre ce or Online Notarization
this � day of 202
P sical Pres nce or Online [Notarization