HomeMy WebLinkAbout1709-0115 To:St Lucie County Building Dept Page 2 of 5 2017-10-05 14:20:36(GMT) 17722063146 From: Holly Kulinski
ALL APPLICABLE-It*0 MUST BE COMPLETED FCtR:A�RFL'CATIOM TO BE ACCEPTED
Permit.NumberDate -
IRE J ` D
W p OCT ° 5 2017
- Building Pe�: �t � pl ��ti.�r� ;.
1?lgnniiag.and;Development SerJices
Building and Code Regulation DIvislon
2300Vrginia4venue,FortPier. ,c FL 34982 Rt?S1dPCltlal X
Phbne:(772)462-1553 Fax:(772)462-1578 Commercial
PERMIT APPLICATION FOR' Mechanical El '
_ ..:'..
Address 1 s �'}t" �tfC"-A
Legal Descriptionc
Property Tax If?:f#: 4 1 1 59!0:01`i ®�% Lot Na.
Slte.Plan Name: Blocko41.
Project Name:
Setbacks .Front Back.. lkight.S:ide: LeftSide:
1
i
i
It `�,y
SAGA
t C�.?NS'FRl)�T�QN INPf�RMATtnN -
J ,
Additional vor to .(e a rme• hOuert tspermtt—c ec a aRPY.
;
2AC LJ Gas,Tank ❑Gas Piping _Shutters ihhndows/Doors
�:Eieetris QPlumbilng �Sprinkiers. Generator �.Roaf Roof pitch
Total Sq.ft of Construction: S. .Ft.of First:Floor:
Cost of Construction: Utilities: SewerSeptic Building Height;.
Name Name,Thomas Kulinski
Address:�� ,krC Co.mpahy:Apex Air Conditioning.and Heating of the.Treasure Coast.
City. i`isa LL3 C State: Address- 161 SE.Serenate Ct
Zip. ode __Fax: City,;Port-St Lucie
State:FL
Phone.Na. "'� C? C' 349.83 772-206=3146
t.��"i J Zip Code; Fax:
E-Niai.l: Phone.No,772 577-8960
Fill infeesitsnple'fitle Hofderon next page('if different E-Mail;apexacandlieatofthetcQgmail.com
from-tete owner listed above) State or County;Licenser CACO25432,
If valueof construction is$2500 or more,.a RECORDED Notice of Cotnrriencement is.required.
To:St Lucie County Building Dept Page 3 of 5 2017-10-05 14:20:36(GMT) 17722063146 From: Holly Kulinski
SUPP `l= ! WtLC5TftL1tlU# . 1 LAW 1N�QR11lIATtCI
#aESIGRIER/ENGINEER: NotA.ppl€cable MORTGAGE COMPANY" x Not Applicable
Name:` Name•
Address: . Address c
City: State: city: state;
Zip; Phone: Zip: Phone:
r
FEE SIMPLE TITLEHOLDER: x Not Applicable DONDING COMPANY: x- NotApplicable.
Name.' Na.tne.
Address: Address:
C.ity:. city:
Zip: Phone: Zip: Phone
I certifyr that.na work ar installation.has=catnmenced pr'sor.t4 the lssuance of.a permit.
St.Lucie•Count�yy makes no.representation that is:granting-a permit wiff•authonze.the:permit holder to build the subject structure
Which N in coniiict-with any applicableMome Owners Association rules,bylaws or and covenants.that may restrict.or prohibft;such
structure.Please sult with con9ouir Home Owners.Association'and review your deed for any restrictions which may apply._
In consltleratron..of the.granting.:of this requested permit}I.do hereby agree that:I will,in att respects;.perform the work
in accordance with the approved plans,the Flbnda 8uiidfng 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,fen+ces,.walls,signs,screen rooms and accessory user.toanother non-residential use
WARNING TO OWNER:,Your failure to Record a Notice:af.Commencement'may,result in,'your paying twice for
improyernents to your property.A Notice of Gommencernent must be recorded and posted on the jobsite
before the first.ins ,ection..If you intend to obtain:financin&consult with fender oron•attorney before
commericirig wotk or recording your ftticeof Commencement.
gnatrre°of i)wne ee Contractor as Agent for{Miner Sig.ature.ofContria
etor/.(cense do d..
STATE OF FLORIDA STATE OF FLORIDA �
COUNIOF �� ��.3~ 'COUNTY`Oi
The( going fnstr miint was acknowledged before me The forgoing ihstrument was.acknowledged hefore.:me
this day of 72D by this ;dof-
ay `� ' .
r �24 _by
LiI
(Name of person acknowledging•} } {Name of person.acknowledging}
$ � �t..:4..J .�4.:t.r'y�a1t-; �fs �'�• � F �..+''�; t �w-"-'ti' ry�4 t`
(Signature o-.. otar•y Public-State.of Florida}. j (Sighatirre:of N ry Public-State of Fiarida,l
Personally Known OR Produced identii~ication PersonallyKnown OR.Produced identification
Type of Identlfieatioh Produced Type of fdentificatlon Produced
,_ �
Commission No C Seal C ion Na t~ (seal}
c }
Ndory Public State of
o my C%wW&w�FF 999"248
Revised:.17J 1.512iJI4 8alley.tearfttemort3,
expiaasksto2tao2o C nim 988 49
REVIEW5 : FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLEMANGROVECOUNTER, RI:UIEW REVIEW REVIEW REVIEW REVIEW REVIEW
PATE:
COMPLETE
INITIALS