HomeMy WebLinkAboutBuilding Permit Application ACC APPCI[XBCE lMFC1 nnub i BE CORIPCt i ED FOR APPCIM 11019 10 BE ACCEP i ED
Date: 3/27/18 Permit Number:
Building Permit Application
Pranning anu aeveropmenriervices
auituing ana I•offe rreguradon vivision
zaW virginia oivenue,Forr Tierce Ft.zyyaz
Phone: (772)z+62-i553 Fax, (772)w62-1578 LUmmercial Reaiaential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7008 COQUINA AVE,FT PIERCE, FL 3*51
legal Description: CRIKEwOOU PARK-CIMI 1 9 EICK 105 CO 1 U(MAP 13/01N){OR�10-L�ff:3;�Gya-yi18J
Property lax ID r;: 130151 101 150'u0c Cot No.to
ake Plan Dame: Block No. IOB
Project Name: SROvv
Setbacks From Back: Rieh.Side: Left Side:
UE I IMEED DE50RIP I IFJR up wuRR:
A/C CHANGEOUT NO DUCTWORK. INSTALL CARRIER 3TON 16SEER 1OKW
CON5TRUCrION INFORMATION:
app y:
Additional work to e orme under this permit—c ec a
0✓ FIVAC n Gas IanR Gas Piping Shutters Windows/Doors
❑EIcItrio ❑ Plambinr 11SprinRl=r. Genci-otor Rout Rv.Tpiton
I vI-I�q. Ft or Cun:;trftdur: - . Ft. oT Fir,t Floor:
Cost of Construction:5 8617.00 Utilities: Sewer D SepJc Building Heieh.:
uwlgER/[EssEE: isulq I.RAL113R:
Dame R05EMARY siMvv Dame: DEAAIs 4ACER
Ai30rca3: /005 COQOIMAAVE. Cornf,an„: AIRS
City: FORT PIERCE State:FE Address: 2800 US HWY i
Zip Code: 3rr951 Fax: City, vERv QERZF! Slate;Pl
Phone Mo.315155r I r r5a Jp Com- 3za60 Fax:
E-Mail: Phone Mm 772-794-7206
Fill in fee simple Title Holder on next pare(if different E-Mail: CLIGHTSEY a@ARS.COM
from the Owner lisped above] State or County License: C;RU IL99f o3
If value of conWut—fion is$z3'u'u or more,a RECURVED rvo.ice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFOWATION:
=cSIGNER/ENGINEER: Not Agglicable UQDTr_Ar_r rQUIZArrv; _blot ApplicaLle
Margo:ROSEMARY SKOW WaMe:DENNIS ZACEK
Addre es:7ooecoauNAAve Fr PIERCE.FL34951 Address, 70MCOOu'NAAVE
r'jty: FORTPrERGE Ctate; rjty; VERO BEACH Mate;
lip: Phone lip: ehone:
FEE SIMPLE TITLE HOLDER: _Not An_olicable BONDING COMPANY: _Not Applicable
Name: Name.
Address:tam us Address:
Citv: City:
Zip: Phone: Zip: Phone:
01IUNPD/rr%WTDArTQD AFc1011IT: Aggli^atioa is kn kv made to o~t^ia a 12 -mit to do tke• -1 aed installation a:indi-at-d.
I certifu that no work or installation has commenced prior to the issuance of a permit.
ct_Lucie r-LjgtV Wake=go ,e tatiog ttiat is R�aatiae a Pe mit.•°ill autko�i,e tke permit�alde to build the�uhje^+stru-t--2
which is in conflict �@g with any a2gllcahle Home Owners Association rules,bylaws or andcovenants that may restrict or prohihit such
st'--_tw• . Qlease toms-lt...Ith vou~Home Owners Association and review vour deed for anv restrictions which may aggiv.
IQ cogside tioe of the e•aati2g of this feguested Ue Mit,I d-ke I—V=_g; tkat I...ill,ig all•esQeets,ge�Fa•r'n tke,•,art,
in accordance with the agoroved plans,the Florida Buildine Codes and St. Lucie Countv Amendments.
The followine buildine permit agglications are exempt from undereoina a full concurrencv review:room additions,
acreggory at,wctu,ns p...IgiminE goals,fegree,...allg,cigar.,P.eea-ooms and af:!:egg-ry ugeg to aootk-r gog^re-idnatlal use
WADWICIG TO O`A#NcD:Your failure to Record a Notice of Commencement may result in your navine twice for
improvements to your property. A Notice of commencement must be recorded and posted on the jobsite
before the first insgection. If vou intend to obtain financinL,.consult with lender or an attornev before
commencing work or recording our Wotice of romm2ncem_nt.
► �, t p A,
Signature of Owner/Less /Contractor as Agent for Owner Sipnafure of contractor/L nse Holder
STATE OF FLORIDA STATE OF FLORID°
COUNTY OF:NDIAN FtIVER COUNTY OF
The forgoing instrument was acknowledge before me The forgoing instrument was acknowledge efore me
this�day of �l ence-r-L 120 by tk-if .77d-v of j— '-= �v
Name of person making statement dame of person making statement
Personally Known x OR Produced Identification V^-o°••a x ^_a Q,oau^-ed 1•4egtiFi^atiog
Type of identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida) (Ciegatu•e of blatary gul-li{tat-of Flo-ida l
"'""" 1I�^.RI STY LIGHT
Commission No. ��Z�C �� o. r 9 ='''"'a' 5Q�11
�.�.,.��., CRISTY L - ^� _ CD1l1nIr55ion N FF :7 9) 45
_� = Comimssrnn FF 929045 .�- My Canunr5yuin E r s+ �s
My Cunrims run L*jwus ',�,?„�i,°. October 20. 2 1
-�.,�o.r��a C O er 20, My
REVIEWS FRONT ZO r_rrATlppl crA Tt IDTr r MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8 2/17