HomeMy WebLinkAboutConkle - 8402 Coquina Avenue - FPAll APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ? f 1 (0 1 a
Permit Number
L�1LC�
L
Building Permit Application
Planning and Development Services
Building and Code regulation Division
2300 Virginity Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Residential
PERMIT APPLICATION FOR: ABC Change Out - Like for Like
PROPOSED IMPROV ENT LOCATION:.
Address:
Property Tax lD #: «a -' C11 d - D t` �n • bb ,
Site Plan Name:
Project Naive:
DETAILED DESCRIPTION OF WORK:
�-
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additio al work to be performed under this permit --check all that apply:
Flechanical _Gas Tank —Gas Piping Shutters
Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ .
OWNERJLESSEE:
Name
Address:_LaDZ
— Generator
Sq. Ft, of First Floor:
Lot No, 641
Block No. 6?.2-
Windows/Doors Pond
— Roof Pitch
Utilities: —Sewer —Septic Building Height: _
City: t ,e1/L-P—U State: E -
Zip Code: d Fax: —
Phone No. � - `� 7s _15b ,-1( r)
E-Mai I:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:Jaynes Snyder
Company:Snyder's Cooling and Heating, Inc.
Address:F'-C- Sox 2007
City:Fort Pierce
State: FL
Zip Code: 34954 Fax: 772-6004811
Phone No772-528-3377
E-Mail snyderscooling@aoi.com
State or County License CAC181657,9 / 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 CONSTRUCT19MLIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State;
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip. Phone:
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
of Applicable
State:
of Appiicable
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 ail respects, perform the work
in accordance with the approved plans, the Florida Building Codes and 5t. 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 our property. A Notice Of Commencement must be recorded in the public records of St.
Lucie County a osted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lende an attorney before commencing work or recording your Not' Commencement,
g"ture of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORID
COUNTY OF
Swor (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
��� •ems
Name of person making statement.
Personally !mown Produced Identification
Type of Identification �,,,Wlii1ttt1wo1
Produzvd
,� , •' ti�tissioN.
ignature of Notary Public- State of Florida
Commission No.Gkj,_1 (Qo� czasssz
{Sea'Y � '. �,
SABRI YpyPbr wino
, STA-,
REVIEWS FRONT ZONING SUP #fop
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
arure of Uontractor/License Holder
STATE OF FL ' ORIPAC��
COUNTY OF
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notar'izatien
this day of 2020 by
e�
Name of person making statement.
Personally Known �OR Produced Identification
�Xpe of Identification
D���oS�1NAI L aQ�'
(Sidi afire of Notary Public- State of Florid
�.,scion No_ GlGokya } m
�
4 .1 rb i : . o yp��ded the
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PLANS VEGETATION SEA TURTLE c
REVIEW REVIEW REVIEW RA0�l�'