HomeMy WebLinkAboutRiddle - 1125 Coral Street Fort Pierce - SLC.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ?.>bAA 1 Permit Number:
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: 11 p
Address: i p� Jr r ►cve 21 f�f .
Property Tax lD #: Qg83 _�5aa "
Site Plan Name:
Project game:
Lot No. A&
Block No.
(4 e) br't a 1AJV I o?.s-lzpn_ izJ vi,-h "SkLJ herd
New Electrical Meter Second Electrical Meter
L09NSTRUCTION INFORMATION:
AddiZechanical
al work to be performed under this permit— check all that apply:
_ Gas Tank — Gas Piping _ Shutters Y Windows/Doors Pond
_ Electric _ Plumbing _ Sprinklers — Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
�p
Cast of Construction: Utilities: _Sewer _Septic building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
i
1Name:james Snyder
Address: S a-�
E
Company:Snyder's Cooling and heating, Inc.
City: FI CP- State:aCi.
Zip Code: -)L4 qg Fax:
Phone No. CP
Address: P.0- 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 fisted above)
E-Mail snyderscooling@aol.com
State or County License CAC1816579 126414
n value ur Lons[ruixion is Ln�uu or more, a KU UtWtU Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU.CTPN LIEN 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: Not 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 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 Nome 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, wads, 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
improvementsp your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Count d 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 ypeNotice of Commencement.
40tr'
of Owner/ Lessee/Contractor as Agent for Owner
ig ature of Contractor/License Hofder
STATE OF FLORI
COUNTY OF , Lug
STATE OF FLORIDA I
COUNTY OF
5wor o (or affirmed) and subscribed before me of
Ph sisal Presence or Online Notarization
this 0 day of Pn�� • 201 by
Swor o (or affirmed) and subscribed before me of
Physical Presence, nline Notarization
this 4 . day of 1 ! 1pilA1, 2 by
J o�rnes nudes
J aine-S
_ ..
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Pro used 1tlllliiili/ps��
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Personally Known � OR Produced Iden%k4rJilqfi
Type of Identification
P oduced yob • r,,trCsq�Q�11�!!!'
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` (signature of Notary Public State of Flor
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Commission No. V V fJ • �Le�y dalG� �a r' ��
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$ABRINA L. BLACK
ignature of Notary Public State of 1miI9 � o N x
�o�mission No. �T
SABRINA L. BLAOI�
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DATE
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