HomeMy WebLinkAboutbuilding permit r.EE HPPE10WE IMPu M003 i RE COMPrETED FOR r►PPMOt i ION i u HE mCCEP I ED
Dates: 4/13/18 Permit Marnser:
Building Permit Application
Planning and Developmenr Services
Building and Code Reggularion Division
2300 Virginia Avenue,For r Pierce FL 34982 _
Phone: (772)462-1553 Fax:(772)462-1578 commercial Residential x
PERMIT APPLICATION FOR: MCchariical
'PRuPuSED INIPROVERIER v 100k 110M
Address: 7334 MARSH TERR
Segal Description: IC Am5Fi CRM01MG A I i RE RE5ERvE-Pnr►SE ONE-CC;i 3 i tICInP ssrnM) (OK ZFDZF6-srZ)
Property Tax ID#: aac�aC 00aaC'u0a LOL No.
Site Plan Name: Block No.
Project Name: LANDERS
Setbacks Front Back: RiEht Side: Left Side:_
DETAILED DESCRIPTION OF WORK:
A/C CHANGEOUT NO DUCTWORK. INSTALL CARRIER 4 i ulq 16SEER 10RW
=UON5 RIUCTIUN INFURIOIAI i IUIV:
tiona wor to e e orme uri f a i s peP91-1 ce � app r:
✓❑_FIVAC f Gas i anR uGas riping _Aattar, winiio-�/Doter,
EleRric 0 PlumQing U 3prinRlers F—I Generator Roof Root piicR
i otal aq. Ft of Construction: zo Ft.or First Floor:
Co.t of Con�tra�ion:5 16,y / Utilities: Sewer 0 Septic Buildinr,Height:
uwMER/[ESSEM Ling I RAUI UR:
Name MAr[R mN13 DE6RR I7RAGERS Name: DEArvlb LmUE F
AtIoress•1-rs0 SAMuEs i IN DR. Company: NR5
City: RENO state:l°V Address: 2800 US HWY 1
Zip Code: 89523 Fax: City: VERO BEACH S.a.e:FL
Phone No. r 145 14533 r Zip Lode: azyI55 Fax:
E-Mail: Pnone fro. rra-194-1036
Fill In lee simple i Izie Flviiaer on next ppsc 1 if ainw-enL a E-M.il: CLIGHTSEYCcOARS.COM
from the Owner listed above) State or County License: CMC1249753
If value of construction Is$2500 or more.a RECORDED Notice of Commencement.is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ncclr_nr�D�cd�Inlrco. _Not Applicable UQDTr_Acc rQpd2AWV: _llot Applicable
W a m e:MARK AND DEBRA tANDERs Name',DENNtS ZACEK
address:7334 MARSH TERR A Ad ress: 2730 SANDESTIN DR
rity: RENO Ctate: rify. VEROBEACH Ctate:
Zip: Phone 7Ip: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:2800 US HWY I Address:
Citv: Citv•
lip: Phone: Zip: Phone:
ntA1NFR,rnplTRArrn0 ACrJQAfIT_ Aggli^ation iE:1-a•ekv made to obtain a 11e~mit to do the work and installation as indicated.
I certifu that no work or installation has commenced prior to the issuance of a permit-_
ct.I uCin rcu,2+y maLar no rep,.Ieptatinu that ii p'agtiOQ a e-mit-ill 2Yth0'Le tk- n-licit"_elde"to b_ild tk-e subject st'ucture
which is in conflict with any applicable dome Owners Association rules,hylaws or an9covenants that may restrict or prohihit such
.trw-tu-e. Please consult••'its vori-Home Owners Association and review vour deed for anv restrictions which may apply.
In eonrid—ation of the g,aatlialz of thin.o9Y-cted pe^mit, I do he.etiv agree tEat I...ill,its all-e�pe�ts,ge..fo-m tte...or''
in accordance with the approved plans,the Florida Building Codes and St,Lucie county Amendments.
The following building permit agglications are exempt from underuoinp a full concurrence review:room additions,
arroGiary etluEturee,fi—imming pool! fencer,"alls,sigai,rrrnep room^-and a^-eta-ry Y:a:to asot"a a"s---;He"tlal Hse
tAtADnJWN _:Tn pstuplDo:vou-failure to Record a Notice of Commencement may result in vour gavine twice for
improvements to your property. A Notice of rommencement must be recorded and posted on the johsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencinz work or recording our Wotice of commencement.
Signature of Owner/l essee/contractor as Apent for Owner signature of contractor/I icen alder
STATE OF FLORIDA CTATF OG FI nRIDA
COUNTY OFwoiawel-e COUNTY OF
The forgoing instrument+ as 2f:kc n,ledg.ed hefore me The forpoinp instrument was acknowledge efore me
this day of 70_ by t"is 17 day of APRIL 20hv
Name of person making statement dame of person making statement
Personally Known x OR Produced Identification Pe-s^naliv"no•••= x OR Produced Identification
Type of Ident f cation Type of Identification
Produced produced
lSienature of Notary Public.State of Florida) a-w-of W-ta Ludic-Ctate pf Jo-ida I
`��,,.,
ce^-mission rV^ ceal Commission No. F 9a-��4� r'Qlcry Ll SEA
f I iG '' i c•+, �,. r•1 f 12904!,
+F IM V C-m"111115Sri 11
19
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17