HomeMy WebLinkAboutFitgerald III - 600 Gopher Hill Rd - SLCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 q b 4 l02 J Permit Number:
Building 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 FOR: A/C Change out - Like for Like
PROPOSED IMPROVEMENT LOCATION:.
Address: he"� t-11
Property Tax lD #: 3 N - QbDA
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
M
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additio 81 work to he performed under this permit - check all that apply:
vMechanical _ Gas Tank _ Gas Piping Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers — Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
J Cost of Construction. $ LP `tI D , P Utilities: _ Sewer _ Septic Building Height:
OWN. ER/LESSEE:
CONTRACTOR:
Name i , 0.vYri -i
Name. James Snyder
Address: aceS
Company:Snycler's Goofing and Heating, Inc,
City:% 9Ywc--e— Stater.
Zip Codej410,2— Fax:
Phone No. _ A - atQ7 - 9, (D
Address:P.C. Box 2007
City: Fort 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-Mail snyderscooling@aol.com
State or County LicenseCAC1816579 / 26414
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 CONST RUCT
'qN MEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
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 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, ! 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 Count I posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with len r an attorney before commencing work or recording otice of Commencement.
re of Owner/ Lessee/Contractor as Agent for Owner
re of Contractor/License Holder
COUN 4 OF OR(Dl�7�.�
COUNTY OFSTATE OF OSTATERIDA )
Swo to (or affirmed) and subscribed before me of
Physical Prese ce or Online Notarization
this yday of p�� �02�I by
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Swoto (or affirmed) and subscribed before me of
►►�� P sicai Pres c or)��" Online Notarization
this day of SUer✓ 2(32q by
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Name of person making statement.'
Name of person making statement.
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