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HomeMy WebLinkAboutWarburton - 3259 Lakeshore Dr SLCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�I Date: f 3D I A I Permit Number: Ll J\rl L C '3 4 W Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 3498.2 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: A/C Change out -- Like for Like PROPOSED IMPROVEMENT LOCATION: Address: Ac 1 Or Dr- ► 4X e-e f- t . cf Property Tax lD #: 141,R5- W 7 to ` 00 06 - Cc 6) • © Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: G - (�I51X�-�'1C.Nl New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: e Additic) I work to be performed under this permit - check all that apply: Mechanical _Gas Tank —Gas Piping Shutters _ Windows/Doors Pond _ Electric _ Plumbing —Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction:` I Sq. Ft. of First Floor: �- Cost of Construction: $ f 5qo Uti€ities: —Sewer Septic Building Height: Lot No. Block No. OWNER/LESSEE: CONTRACTOR: Name D n�jGe_ o_Y-bt Name, James Snyder a- 6her0_ f . Address: rI L ci Company:Snyder's Cooling and Heating, Inc. City: . Y I psf "_ State: FI. P Zip Code; 3Y1141 Fax: Phone No. �5Lel - 7v 7 ~ z-11 3 3 Address: P.a. Box 2007 City: Port Pierce State: FL Zip Code: 34954 Fax: 772-600-4811 Phone No772-528-3377 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mailsnyderscooling@aoLcom State or County LicenseCAC1816579 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: 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 instaPation 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: 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 and p ed on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or gproEtorney before commencing work or recording o otice of Commencement. Owner/ Lessee/Contractor as Agent for Owner ure of Contractor/License Holder STATE OF FLORI!�(, �`""1 4� STATE OF FLORID e--� COUNTY OF ( COUNTY OF Swor to (or affirmed) and subscribed before me of Sworn o (or affirmed) and subscribed before me of Physical Presence o Online Notarization this � day of 2021 by Physical Presence or Online Notarization this ZDclay of c_5p�� 2021 by ���� �Yh �►' l iti�� eA,,— L_S C� Name of person making statement. Name of person making statement. ✓ Personally Known '� OR Produced Identification Personally Known OR Produced Identification Type of Iddentification Type of \0%%111011,'� Prod Produced v1' �e ?4hSti •L,�j _/��e aoi�4�N41i�lEi'd,Ap//'�� 13 �ivi �.°alN'A L. •,.� G V (Signature of Notary Public State of Flori a) ,•°_ti e. ? :�'. e z �.g 'nature of Notary Public State obi rich Y ) Commission No. c 'J176jk '--§e:l) b•� � �c�nmission No_G 2 �3G 2893d2 . Sf�13f�Ikll�. L.. ULA,.. �5, . � e S A IS K I I o p� J`� ihtu ens is . �' a t.t,t •P , a ' ndE 9� REVIEWS FRONT ZONING P�R�1 LANS VEGETATION N SEATURT�a �� P�aVE E.COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED l j DATE COMPLETED ev.