HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L'-LAIC -�
9;'LR"6'v— `1Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION EOR: A/C Change out - Like for Like
PROPOSED IMPROVEMENT LOCATION:
Address:j i 03 V S-e— C i Y&t g.- br�-
Property Tax I D #: 3 1 LP - 961 • Qa,� 7 ' &) D '
Site Plan Name_
Project Name:
M
Lot No._
Rlock No.
DETAILED DESCRIPTION OF WORK:
k ,. S ova . 1(p Se tit , 10 XLJ ht i
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
%46on�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: $ c566 r Utilities: _Sewer _Septic
Building Height:
Pond
Pitch
OWNE /LESSEE:
CONTRACTOR:
Name VrOL-C on 400-
Name:James Snyder
Address: Uio 3
Company:Snyder's Cooling and Heating, Inc.
City: r l IAu 1; - State: r].
Zip Code: —S 4gZ5,A Fax:
Phone No. 95 - -7 gr 15
Address: P.O. Box 2007
City: Part Pierce State: FL
Zip Code: 34954 Fax: 772-600-4811
Phone N0772-528-3377
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 License CAC1816579 / 26414 i
F vauc „t i 113-ulumi Eb vuu ur more, a KtLUh1Jt1J notice of Lommencernent is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCT12 LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: T Not Applicable
MORTGAGE COMPANY: of Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: ��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 wort(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 wAh the approved plans, the Florida Building Codes and St, Lucie County Amendments,
The following building permit applications are exempt from undergoing a ful[ concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessary uses to another rion-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 posted on the jobsite before the first inspection. if you intend to obtain financing, eonsukt
lender n attorne before commencing work or recordingour Notice of Commencement.
;re
of owner) Lessee/Contractor as Agent for Owner�g_-nilContractor/License
Holder
STATE OF FLORID
COUNTY OF_(-��u
LOfiID
COUNTY OF_ -- �- u U e—
Swor o (or affirmed) and subscribed before me of
XPhysical
Swop to (or affirmed) and subscribed before me of
se
Prece or online Notarization
hysical Pr rl o online Notarization
�" this ,Oday of 202� by
tU, day a 2021 by