HomeMy WebLinkAboutWoodland - 7718 Greenbrier Cir - SLC.pdfAll APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 1bi tl ! °;l-• I 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: f r
Address: -771 e,,! I4 1 [- cv- C` ✓ �Y ,
Property Tax I D #: d, 7
Site Plan Name:
Project Name:
I DETAILED DESCRIPTION OF WORK:
VLF `I -r" I /0 5 e,
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additi a[ work to be performed under this permit -check all that apply:
✓—Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: aj 410,
Generator
Sq. Ft, of First Floor:
Lot No. 02.
Block No.
M
Windows/Doors _ Pond
Roof Pitch
Utilities: Sewer _Septic Building Height:
.OWN/LESSEE:
CONTRACTOR:
Name Ld 90
Name: James Snyder
Address: 77-7 e-e-Yl brreX i+r
Company: Snyder's Cooling and Heating, Inc.
City: Pp - Sf. State: Fr.
Zip Code: ?)LI 01 1 Ce Fax:
Phone No.417 -_ 9,51 - Q 39to
Address: P.O. Box 2007
City: Fort Pierce State: PL
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 License CAC1816579 f 26414
IT V21ue ar construction is ZWU 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 CONSTRUCTION LIEN TAW INFORMATION:
DESIGNER/ENGINEER: V Not Applicable
MORTGAGE COMPANY: � Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: VNot 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,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessary 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 p34@d on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or a orney before commencing work or recording your N tice of Commencement.
ig ure of Contractor/License Holder
O�aure of Owner/ Lessee/Contractor a AAgent for Owner
STATE OF FLORI L� 4A
COUNTY OF
I
; STATE OF FLORIDA
€ COUNTY OF { -
Svo to (or affirmed) and subscribed before me of
Swor o (or affirmed) and subscribed before me of
Physical Pres ce or Orsline Notarization
Physical Pres ce r Online Notarization
this ��ay of IJ 2�2� 6y
this LLt,, y of 2021 by
9\111l�IEItlldp/!
�5pr'IN,q� 11✓i�
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Name of person making sta ement. `a Go;nh° ssroy .•
ame of person making statement. �tt\W
.' -�-1 t✓B�UARY2�lA'.
Personally Known OR Pro duced�cierttification `���fi'
r, � •' �OMFri1SS�'y b'{
P$sonally Kn► -� a RUA
own OR Prnduced�ie�t9ficatl—n
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Type of Identification o
Pr ced
"
Tyke of Identification
(11d,
ti��� •'� t`'
(Signature of Notary Public- State of Florida)
(Signature of Notary Public State of Florid
Commission Na. U off— (Seal)
Commission No. t� � (Seai)11��1�
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SAPRI�'' ` ¢ ¢ '
SABRINA L. BLACK
REVIEWS
FRONT
ZONING SUPERVISOR
PLANTS
VEGETATION
SEA TURTLE
MANGROVE I
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.