HomeMy WebLinkAboutBuilding Permit Application To:St Lucie County Building Dept Page 2 of 5 2018-03-28 11:58:17(GMT) 17722063146 From: Holly Kulinski
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d
Date: a`�l•�____
PermitNumbgr..
RECax--
Building Permit Application
MAR Pianninp and Development Services
Buddingand Code ReguiaVoin Q1050r) ttingST. Lucie.Co2300 Virginia Avenue,Fort Pierce FL 34982
Phone-(772)462-1553 Fax:(772)462-1578 Commercial
}7£Si 811118(
PERMIT APPLICATION FOR: Mechanical
PRUPOSED 'IMPROVEMENT LOCATION: '
Address: 01 Vii~ -r—e- -G�-c,
Legal Descrlptipn -� r
Property Tax lD#;2A -E e CM
Site Plan Name: Block No.
Project Name;
Setbacks Front . Back: Right We:�_- _Left Side:
DETAJLED DESCRIPTION OF WORK:
"Yda�IC. %?X �- �'51,� LAZ �k'Cu�Y? k-
coo&k -'SCE LSA t vY_Aek.. �\*aLIN ` l,y Ke..
CONSTRUCTION INFORMATION: i
Additional work toe performed un er t tis permit-chi athal appy.
HVAC Gas Tank Etas Piping Shutters 0 Windows/Doors
1 {�Electric. L.J Plumbing OSprinkiers Generator Roof Roof pitch
Total$q..Ft of Construction: S .ft.of First Floor: _
Cost of Construction: Utilities; Sewer U Septic Building Height:
EEEE
-R/(ESSEE. CONTRACTOR:
Name C. Name:
�b
Addressg�VN C�AKyS AOJIPCompany, is
City: YSg--kgdLrR- Staten_:(.. Address Vlok Gr C„�. e '1Y' CA_
.
Zip Code; 83 Fax CEty k"S le, Stater_.
Phone No. Zip Code: Fax--AP:NW
E-Mail:
Phone Na.`[1� .
Fid in fee sltnple Tltle Holder on next page(if different E-Mail: Ir
izam the owner listed above) State or County License; MO
SI:��
if vakm of conctrucHun is.$2500 or rr�9,s RFCOROaD Notke of Corn-- mment;Is required.
To: St Lucie County Building Dept Page 3 of 5 2018-03-28 12:05:33(GMT) 17722063146 From: Holly Kulinski
S.LJPP1 +I NTAL CONSTRUCTION i.i N.t.A INFORMATION:
OF_9GNER/ENGINEER: Y Not Applicable MORTGAGE COMPANY: Not Applicable
Name: _ _ Name:
Address: 4 Address:
City:. State: City: state:
Zip: Phone Zip: Phone:
VIM UU1111.FTI -F14[1lDER: Not.Anoticable 801YDINGCONVANY: Not Applicabie
name: Name:
Address• — ; Address:
.City;
.Zip: Phone.- ..
Zip: Phone,
OWNER/CONTRACTOR AFFIRM 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.Lurie Coun. :makes no representation that is granting a permit wait authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assocaation 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 whi may apply.
in consideration of the granting of this requested permit,I do hereby agreethat 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, f
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 your paying twice#or
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite '
before the first inspection. if you intend to obtain.financing,consult with lender or an attorney before
co.mmencing work or recording our Notice of Commencement.
Signature earner/to ee/Contractor as Agent for Owner Signa urP of Contractor/License Holder
I STATE OF FLORI n& STATE OF FIORI
fAIiNTYC1F I (. 1 COUNTYOF
The�f ging ins n wash` knowiedged before me The sing instrument was acknowiedgeyi before me
thi day of zo 1�by thi !�day of Ma 4 1 �0 j by ;
a Name of person making statement Narne of per-sfln making statement
rsonaliy Known.�_OR Produced Identification Personally Known K OR Produced Identificatian
K pe of idt0fication i i i Type [denti tion p ro
>z. educed Produced ('iCY1C`ti n
3 2a x
3 Iii nature of N ry Public State of Florida) (5ignafure of Nota ublic-State of Florida j
m'sssionNo. -t�y (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR MANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW.
OATS
RECEIVED
DATE
COMPLETED'
Rev.8/2/27