HomeMy WebLinkAboutbuilding permit Alit AIPPI(CABLE INIa MUST 1a CCIN A LETID ACIF EIAALICATICIN T(I E B AICCEP79D
Dale: `I/12/18 Permit Number:
Buildirg Perrnlit Alppliciatiori
Plc inning c nd Deg Lelaprnenl]errieej
Building aind node Regi ilutia n Dndsian
2300%Vi ginlo Avenue,for Pieire IL 34382
Phona:(772)AIU-1553 Fa)i:(77a)462-1138 Carnirrlellicial Residential x
PERN 1T AIPPLICAII ICIN FOR: Mechanical
PROPOSIC IN PROVEMEN7 l O"CATION:
Addrissi: 1133 N Ul L ICIAIN OR
l egal Deaaniption: CAST[EI RINES CCINDON INIUN (OR 110-471)f ASE V UNIT 3511 (CIR 3359-1943)
l roII a rt71 Taji ID I#• 337750:I U1370003 _ Lol No.
Site Plan Name: Blaak No.
A roje ct Name: LYNCIH
Setbaaks Aronl l acl : Rigi t Side: left Side:
0ETAILED DESCRIPTION OF WORN:
AIC CHAN GBOU-1 N O DUCTWORK IN STAILL CIARRIaR a 11ON 14SEHR 1 OK\N %IY S11EM
C ONSTRUCTIOP INFORM AIU :
Addil I we ak Is e onme under t islarri —e ec a appv
CHVAC f Gas Tan ❑Gas Piling In_Shn tlers Windows,0eam
11Ellecteis El PIL mbing []Sprint ler:s IlGenenaton �f 00'1 lipilcl
Tolal Sq. It afl Conetnuation: S R1 oil lirsl Iloor:
Coat afl Construction:$ 557 f.00 Willies:_L I ewe n Sept is Building He ighl:
CIWA EF/LESSEE: CiON11RACTOA
NarnaNARYL11tAH Narre• DIitINISZACEK
Address:1333 N Ul L ICIAN CIIR. Comi AIRS
ally; RCIRT ST LUCIE 1tate:E1 IIddress: 2800 US HM 1
Zip Code: 34946 fla;I: City: N ORCI BEACH Slate:ML
F hone No.4061465135 Zip Uccle: 32901] Fa)i:
E-Mail: Phone No. 7119-794-7206
FLIT in ilee simple Title Holda n on next page(11 eliflerenl E-Mail: CLICIHI 9 EY@PIRS.CCIM
from tl a Ominen listecl above) Siate or Caunty I ice rise: CMCI12,H 753
Iftalue of ca nstnucl ie ri is ll aSOa or rrione,a RICCIRDED Natice o1 as mni a nsement is rmgluirecl.
SU A PLEMENIAL CICIN STE U CTION LIEN LAW INFORM P111CM :
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:MARY LYNCH Name:DENNIS ZACEK
Address:8233 MULLIGAN CIR Address: 8233 MULLIGAN CIR.
City: PORTSTLUCIE State: City: VERO BEACH State:
Zip, Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address:2800US HM 1 Address:
City: City:
Zip: Phone: Zip: Phone:
{I%NERAI CONTRACTOR AIHFICI VIT:Application is herety made to of Lain a lermit to Ill the v c rM a nd installation as ini licated_
Icertifyttatnomiorl orinstallatioll his aornmor lie dgriortotteissuanoeofapernrit_
It_Lucie tlountY rnal ea no re pnisc ntatian tl at is granting a permit will authorize the errnit haldn r to built l tt a snt jest struc Lire
which is in eonfliatwith awl appliaat le ticme Owners Association rules,b)llaws orand caverants tF at nial[reitrint orprti hibit.iucl
struAtire. I lease son9ult Witt i.lc ur Ha me Owlae rs Asssllaiatio■ aecl reuiew151ocrr cleed for an)l restric ions wlhici may apply.
In consideration of tl a Irantirig of this requested lermit, I Ila herablI agree ttat 1 vidl,iu all resplicts. Aerform tt a wlorl
in aaaa rda nce v uth tl e a p prouec l pla ni,tl a llorida Btrill linI Coc lei an cl lt. l uaie aoun t}l Arnen clmn n t.I.
Tt a fo Ill wring t uildinl permit applications are e,a mlt from undergoing a full coocl rre rcy review:roon additions,
aceeisary struatures,svuimmin8 ll o ols,fe noes,wills,sisr s,acre e n rooms and a ncessory uses to another noe-residential use
M AIRr1 IN G TO OVA N ER:Youi lailure to Recond a Notice of do m m enae meni mayl ue stilt in your pa)ling tv+ice fan
impiimiementl la your gnopert)l-A Notice oil Commencemeni mtisl be ne wick d i nd posted on Ill a jot rile
beilore the linsl inlneclion. Ilyou intend to al lain linanoing, consult wit l lendan on an ati orne71 t efane
cornmencinlaworl or ne+la nding yatin Notice o'l Conn a n aern ant.
lyyv.,, ,Ln, Je_,e A_.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/Lice •e Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF INaIAN RIVER COUNTY OF INCIAN RIVER
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of 20� by this 12 day of AMIL 20_ by
OENNIS ZACEK
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced 71_ --
(Signature of Notary Public-State of Florida} Ignature of Nota ublic-State C R 19 TY 11611 T :EY' CmltlISS101l II Fl 9 5Commission No. (Seal) Commission No. FF929045 �M}I Commissioet E sOctober 2a, 2
�IH 114\\
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Re+l.8,1;/]�1