HomeMy WebLinkAbout8273 S Indian River DrALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 7131117 Permit Number:
Building Permit APPlication
Plonning ond Development Services
Building and Code Regulotion Division
2j00 Virginra Avenue, Fort Piercc: FL 34982
Phone: 0721 462-t553 Fax: (772) 462'L578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
PROPOSED IM PROVEMENT LOCATION :
Legal Description:
Property Tax lD #:351 8-341 -0003-000-8 Lot No
Site Plan Name:Blor:k No.
Project Name:
Setbacl<s Front Bacl<: -_-__------ Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE CHANGEOUT
4 TON 16 SEER9KW
CONSTRUCTION I N FORMATION :
[--] *,noo*s/Doors
n l-l noot t] Roorpitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
utilities: l_lru*"r, Et"*Cost of Construction: $ 7331'oo Building Heigltt:
OWNER/LESSEE:CONTRACTOR:
J13ms ROBERf SULLIVAN Name: CFIRIS LANGEL
Address:8273 S INDIAN RIVER DRIVE ComPanY: 9EA COAST A/C
Ctv FT PIERCE EIState:' 'Address: 31 08 INDUSII4!!!!Sr.REE]
ZiP Code: 34982 F ax:City:FT PIERCE State: FL
p h one 11s. 77 2-468-477 7 Zip Code: 31946 p2y. 772-466'3053
E-Mail:phone No.772-f949
Fill in fee simple Title Holder on next paBe ( if different
from the Owner listed above)
E-Mail:DAW
state or Countv License: CMC035421
ft ".f ru "t ."nrV*'tion ''r 52500 o;rno*, t RECOCOeO ruoti." of Commencement is required'
Address: 8273 S MIAI\ 3]YERlx
appry:
S h utte rs
Genelrator
I certifv that no work or installation has commenced prior to the issuance of a
St. Lucie Countv makes no representation that is granting a permit will a.uthorize 1
irhlTiii in -irftlit w'ri6 a-nvHpp-tlca6te- Home owfiers AsSociation ,rules, bylaws or
structure, Please consult With Vour Home Owners Association and revlew your oe
ln consideration of the granting of this requested permit, I do hereby agree that I
in accordance with the -pproved plans, the Florida Building codes and st, Lucie c
The following building permit applications are exempt from undergoing a full c
accessorv structures, swimming pools, fences, walls, signs, screen rooms and acc
WARNING TO OWNER: Your failure to Record a Notice of Commenc
improvements to your property' A Notice of Commencement must
beiore the first indpection,'lf Vdu intend to obtain financing, consult
commencing work or recording your Notice of Commencemeffi
Revised 0711512014
COMPANY:
-
Not APPlicable
State:
Phone:
MORTGAG
Name:
Add ress:
DESIGNtER/ENGINEER:
--.
Not Applicable
Ad d ress:
MPANY:
-Not
APPlicableBONDING
Name:
Add ress:
FEE SIMPLE TITLE
Name:
HOLDER: --- Not APPlicable
ermit holder to build the subject str.qlcture ,
covenants that may restrict or pronlblt sucn
ioi anv iestrictions r,rihich may apply.
l, in all respects, Perform the work
ty Amendments.
urrencv review: room additions,
sorv uses to another non-residential use
t may result in your paying twice for
recoi'ded and posted on 1.he jobsite
ith lender or an attorneY before
tractor/License HoTder
acknowledging )
otary Public- State of Florida
n X OR Produced ldentificatio
ii'q'j"o'" ;f'jtl"J'
S€iliu ldfbwn er/Leasee/contractor as Agent for owner
STATE OF FLORIDA
COUNTY OF
(Name of person acknowledging )
Personally Known x OR Produced ldenti
Type of ldentification Produced
Commission [\6. FF96145s
CHRrs rnncer
Signature of
STATE OF
COUNTY
The fors.oins
trris#oav
(N9.qne of per
lffi$;;,"""*
MANGROVE
REVIEW
ETATIONZONING
REVIEW
FRONT
COUNTER
CO M P LETE