HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11AU b, ;I, Permit Number:
L
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: / 0 S J U r 5 tl
PropertyTaxlD#: 1 Sol r L2O 5 - c)(9 - Oafs - 7
Site Plan Name:
Project Name:
Lot No.17
Block No. q 7
DETAILED DESCRIPTION OF WORK: I
New Electrical Meter Second Electrical Meter
LCONSTRUCTION INFORMATION:
AdditioQal work to be performed under this permit- check all that apply:
_Mechanical Gas Tank —Gas Piping _ Shutters
Electric —Plumbing Sprinklers — Generator
Total Sq. Ft of Construction:
Cost of Construction: $ S, 6 0
Sq. Ft. of First Floor:
0 K CAJ
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name 0L*1 c,--- ,--e'L i
Name:James Snyder
Address: 67n S i LtS
Company;Snyder's Cooling and Heating, Inc.
City: -_. 14A-61-e— State:
Zip Code:1�%�l�„ / Fax: --
Phone No. `7-7A - S-L7jQ -- 1-7 A L4
Address: p.C. 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 snyderscooling@aol.com
State or County License CAC1816579 / 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 CONSTRUCTI NLIEN.LAW.INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Nat Applicable BONDING COMPANY: _Not 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 buiid 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,
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 Count nd posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with len or an attorney before commencing work or recording our Notice of Commencement.
nature of Owner/ Lessee/Contractor as Agent for Owner
gnature of Contractor/License Holder
STATE OF FLORID J
STATE OF FLORID�� -
LvL A.—
COUNTY OF t •
COUNTY OF C_,t
Swor o (or affirmed) and subscribed before me of
S+,vo� to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
1O Physical Pre ce or Online Notarization
this ADday of �O-ut•tA_o�-�! , 202FJ 6y
this day of CCkin 202A 6y
I)-
�O��.S Sn
o.2-
��•-I
� Gt. �ar-c_�
r� /
Name of person making statement.
Name of person making statement.
Personally Known ii'� OR Produced Identification
Personally Known 1� OR Produced Identification
Type of Identification
Type of Identification V.
l�1�
Produced
�\\�\llS�g�