Loading...
HomeMy WebLinkAboutFryzel - 961 Nettles Blvd - SLCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: i )111.1 � 1) ),1 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: A.W I pJJ1 R S -7 Property Tax ID #: -7 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: LMama(- 00 - U A L I 1q-6-cv �I New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be 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: // Cost of Construction: $ '7, -7 b Utilities: Sewer Septic Building Height: OWNER/LESSEE: 'CONTRACTOR: Name Narne:James Snyder Address: �S j company:Snyder's Cooling and Heating, Inc. City: �PAn6t.4Z - State: I Address: p-C- Box 2007 . Fort Pierce FL Zip Code: �� 'f 6 % Fax: I City. State: Phone No. 1 If -�oZ ` av23 Zip Code: 34954 Fax: 772-600-4811 E-Mail: Phone N0772-528-3377 _ Fill in fee simple Title Holder on next page (if different E-Majisnyderscooling@aol.com from the Owner listed above) State or County License CAC1816579 126414 if value of construction is 2500 or more, a RECORDER Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTI N LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: V Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Rhone: 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: 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 roperty. 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 o attorney before commencing work or recording your Notice of Commencement. g ature of Owner/ Lessee/Contractor as Agent for Owner gnature of Contractor/License Holder j STATE OF FLO to STATE OF FLORID COUNTY OF ,tom COUNTY OF Sw0 o (or affirmed) and subscribed before me of i Swo o (or affirmed) and subscribed before me of VV Physical Presence or Online Notarization Physical Presence or Online Notarization this day of 2020 by this day of 12020 by J Qm e'-�> cSn� e1� Name of person making statement, Name of person making statement. Personally Known y ©R Produced Identification Personally Known '' OR Produced identification Type of Identification Produced- //j Pel�dentifieation �r?lf� /// \,,��1ti111i11!!if/�odu \i� R3i iA LNg (Signature of Notary Public- State of ariga e °� �'; (Signature of Notary Public- State of FloSdk } `� Co YS o �5�al)#GG289862 ommission No. • i � :tea B 0`�=� Q `M��'F`. '. ��.'?tled th+u ����.• p SABRINA L. BLACK REVIEWS NT VREV / COUON ER ROEVI WNIN/'f// �toPA �I�L REV EW EWON REV EWSFALE RE�� VIEW [DATE RECEIVED DATE COMPLETED Rev. S/ b/, tU