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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLI BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �A 5 J A Permit Number: ��. LLC�� PEI;- C� f �41 Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1S78 Residential PERMIT APPLICATION FOR: A/C Change out - Like for Like .PROPOSED IMPROVEMENT LOCATION: Address: 5(-) ! 7-i—a ry_jjY 1 �XL� Property Tax I D 4: Site Plan Name: Project Name: _ - Ol CZ - C)& c)- 7 Lot No.I_ Block No. _S,7 � DETAILED DESCRIPTION OF WORK: I New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Addzechanical al work to be performed under this perrnit - check all that apply: _Gas Tank _Gas Piping Shutters _ Electric —Plumbing _ Sprinklers Total Sq. Ft of Construction: --7 Cost of Construction: $ ! Generator Sq. Ft. of First Floor: Windows/Doors _ Pond Roof Pitch Utilities: —Sewer —Septic Building Height: OW .NERJLESS E: CONTRACTOR: Name L Name;James Snyder Address: DY(A Company:Snyder's Cooling and Heating, Inc. City: I +�C. State: �. Zip Code: L �L Fax: -®" Phone No. -7 - Address: P.O. 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 snyderscooiing@aol.com State or County License CAC1 816579 / 26414 it vawe of construction is Z50© 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 LAW INFORMATION: DESIGNED/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: _Not Applicable 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: 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 and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or araonttornev before commencing work or recording your Notice of Commencement. Owner/ Lessee/Contractor as Agent for Owner __,-,-r5ignature of Contractor/License Holder STATE OF FL O I jj , STATE OF FLORID COUNTY OF !6• L._.vt COUNTY OF swoyn to (or affirmed) and subscribed before me of V Ph sical Pretence or Online Notarization Ph day of J 0LAV,4CUVCJ_202 by Name of person making sta ement. Personaily Known OR Produced Identification Type of Identification Pro uced •. ,�111111iii! iF!Fe,� ( ignature of Notary Public- state ofd3'%��aRu Commission NoA� p^7 Seal} ae w SABRINA L. BLACK'.s�?8�ao, REVIEWS FRONT ZONII fig ' ' 13� COUNTER REVIEI(<pi;sTr�1E�� DATE RECEIVED DATE COMPLETED Sw'or o (or affirmed) and subscribed before me of � r'n sical Pr or Online Notarization this day of " 202 by Name of person making statement. Personally Known �OR Produced Identification Type of Identification Produced cJ ignature of Notary Public- State of Florida!:f D1� `�. e mrnission No. ( �} lea �8p SABRINA L. BLACK PLANS I VEGETATION I SEA TURTLE REVIEW REVIEW I REVIEW