HomeMy WebLinkAboutWilkes - 3605 S. Indian River Drive - SLC.pdfALL APPLICA LEr1F0 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 L�Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: - -
PROPOSED IMPROVEMENT LOCATION:
Address: 2 G O 1 S� • Ind 1 all C!!/`V— br. 0"
Legal Description:
Property Tax lD #: _ o V� (a - 313 -00 0 1 00 — of Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Add itional wor to [e- —pertormedunder this permit -check a apply:
�HVAC L _I Gas Tank 0 Gas Piping Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers 1-1 Generator F]Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ (O 0 p () p • Utilities: ElSewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name k9C ,f- dah-f—
Name: James Snyder
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Address: WS s• Indian f ec b ✓.
Company: Snyder's Cooling and Heating, Inc.
City: F! ev(•e- State: I
Zip Code: 3c/ � 8 ?- Fax:
Phone No. i a-- 5-co N' (oPOP
Address: P.O. Box 2007
City. Fort Pierce State: FL
Zip Code: 34954 Fax: 772-600-4811
Phone No. 772-528-3377
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: CAC18165791 #26414
va�u= u %.u11bL, uLuun 1b .?c,uu or more, a KtcvKUtu Notice or commencement is required.
SUPP'La=MENTAL CONSTRUCT]
LIEN. LA W INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY-
Name:
V/'Not Applicable
Address:
Address:
City:
Zip: -_ Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: Z
Name:
Not Applicable
BONDING COMPANY:
Name:
- of Applicable
Address:
Address:
City:
city:
Zip: Phone:
Zip: Phone:
+-+VV[Mttc> C.VINI I € AC; l Cif€ 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 Nome 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.�,7 Gn attorney be-forP. r'r}f mt-nring wrlrle nr rPrnrr'lina wn79r kiri-iro n{ rnmrnm+
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ig ature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
j STATE OF FLORIDA
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Swoto (or affirmed) and subscribed before me of
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Personally Known OR Produced Identification
Personally Known L� OR Produced Identification
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