HomeMy WebLinkAboutWilkes - 6313 Spring Lake Terr - SLCAll APPLICABLE 1 FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � � I ZIa ') Permit Number:
5� ,� �r'
1` `�- 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: I
Address: 1 ; 'n ��✓✓ 1 i' i .PJi/U� ofJ
Property Tax ID #: 131 � � ®I A& - ®D� � [ Lot No. 353
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
L aly)0'e , A,r — i 2�
(-�bu-fY)a 14 c5e8"V- IJ ! "A 10 Kfn1 h I? Ifw
New Electrical Meter Second Electrical Meter
ECONSTRUCTION INFORMATION:
Additio al 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: Sq. Ft. of First Floor
a PQ
Cost of Construction: $ 1 Q , f Utilities: —Sewer _Septic
Building Height:
OWNERf LESSEE:
CONTRACTOR:
Name f i 1
Name; James Snyder
Address: i 6 n L&kk-
Company: Snyder's Cooling and Heating, Inc.
City: ±"icze—: state:
Zip Code: �} Jr Fax: - -
Phone No. 1 �3 c�7vr `-] t- U 11
Address:P,00 Sox 2007
City: Fort Pierce State: FE
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-MaiIsnyderscooling@aol.com
State or County License CAC1816579 / 26414
It 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 CONSTRUCT9N
LIEN LAW INFORMATION:
DESIGNED/ENGINEER: V
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
Zip: Phone:
i
FEE SIMPLE TITLE HOLDER:
Not 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 Horne 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 corcurrency 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 d posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lend or an attornev before commencing work or recording your Notice of Commencement.
ure of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA.
COUNTY OF�� 4
Swop to (or affirmed) and subscribed before me of
s/ Psical Presence or Online Notarization
this j.hyday of 2021 by
��1� 5 ���000 1lII1111111Nlfill
Name of person making statement. �!ZS
2, 2p ��c� ••
Personally Known 'f� OR PrG9uc ntificatiY%� �
Type of Identification 4
Produced ;,G289a62
o
�,�, • y�'�b�ic u�a`, ..�C`' tip-.
(Signature of Notary Public- State of F �C1C, StS� \�`oX
if111ffI11i1N1100
Commission No.&&^' 109?04�N (Seal)
SABRINA L. BLACK
ure of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF�-
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this _[j— day of 202by
Name of person making statement.
Personally Known `/ OR Produced Identification
Type of Identification e\\\00111111N1111f�s
Produced ��� gR1NAi.g /
issift �IF
(Signature of Notary Public- State of C ) `
Commission No. l�D 1 ` o (&al'G283862
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COUNTER I REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVE€?
DATE
COMPLETED