HomeMy WebLinkAboutbuilding permit ACE APPEICR6EE INFO MG.-oi 6E WIMPEETED FOR APPERM i ION 10 6E ACCEP I ED
Date: 4/13/18 Permit Number:
•
Building Permit Application
manning and uevelopment services
ouilding and Code Pregulation vivision
z3l)v virginia Avenue,tort Fierce r[sysaz
Phone: (772)462-2553 Fax:(772)462-1578 Commercial Re3iaential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT COCATIUN:
Address: 14 LAKE VIST TRL 206
Eegal Description: vls i A s 1 [OCIE 6EDG 7zF uNi i r06(OR z0nzi-i oas)
PropeRy i ax,D R: cc3000 i a30003 COL MO.
She Plan Name: Block No.
Project Name: CHIERCHIO
Setbacks From Back: Right Side: Left Side:
DETAIEtO DE50I1'I IUN uF WuRK:
A/C CHANuEL) lau Duu vvuRR. lives I ALL CARRIER 2TON 15.5 SEER 'fOKW
CONSTRUCTION INFORMATION?
Additional work to orme un ert is perrnit—checka aep r:
✓ZHvAC �]G.s i.riR ❑Gas Mel% rn 5netter. ❑w;nao.�,/Door�
1 ElcUrie U Plarnling ❑bprin!Z6r, En Gum;racor ❑Roof Rom pimil
i v[al ay. FL or CanstrUETian: zocFi.of First Floor:
Cost of Construction:5 9394. .00 Utilities: Sewer❑Septic Building Height:
uw19FR/LEsSt=E: CUN I RAc-i uR:
Name ausEPR CRIERCRII7 Name: DERIT5 4ACER
A130r,�3:i 15 USERRY CN carnp.nr: AR5
City: MEDFORD State:NY Address: 2800 US HWY 1
Zip Cade: 1 1 r6a Fax: City: vERO BEACH State:FL
Phone No.R31 00-13ya cip Code: o/050 Fax:
E-IOl-il: PRorne No.
Fill in fee simple Title Holder on next pare I if different E-Mail: CLIGHTSEYCARS.COM
from.he Owner IiNLed above) State or County License: CMC1249753
If value of cons.run.ion is$z2w or more,a REwRCE19 Notice of Commencemem is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFnRhdATI(]d:
DESIGNER/ENGINEER- _Not Applicable UQ13rr_•Ar-e rpeeQAWY• _Not Applicable
dame:JOSEPH CHIERCHIO Name:DENNIS ZACEK
Address'14 LAKE MST TRL2as Add"ess: 11SCHERRYLN
r ity: MEDFORD cta#e: r'Ity: VERO BEACH State:
lip: Phone lip: Rhone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: dame:
Address:2iiao uc—t Address:.
City: Gtv:
Zin: Phone. Zip: Phone:
nu tplca/rnWTAArTQD AcclnUlr: Appli-ati-a is"_e~ebv made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
st.' ^in�oylat mares ao we.e:erata�ioe that in s-actin¢a$�-^'it •III-3 tt,o...g t �pe-m-*t'-older to build the subject structure
which is in conflict with any applicable dome Owners Association rules,hylaws or andcovenants that may restrict or prohibit-such
structure. Please consult with vour Home Owners Association and review your deed for anv restrictions which mam annly,
IQ:oasidn-atioa of t6-a-acting of Ois--guested gr-mit,I do tio.ohv ae--n that I...il', in all~esgects,ae'so"m the...ork
in accordance with the approved plans,the Florida Building Codes and St.Lucie r-ountm Amendments.
The following building permit agLlications are exem_t from underpoino a full concurrence review:room additions,
--^es--ry st"Yctu•e_,I;•••imming Pools,sea^es.••�Ils,siga:,:^.Pen-now;and ac:-::-ry u:e:to anot"e"son-•esidential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in vour oavine twice for
improvements to your property. A Notice of rommanrement must be recorded and posted on the jobsite
before the first insn_ection. If you intend to obtain financing.consult with lender or an attorney before
commencing worL,=r recording our Wotice of commencement--,
signature of Owner/I essee/contractor as Agent For Owner signature of contractor/1 icen Uol�ler
cTATF OF FLORIDA cTATr=pr Gl nRIDA
COUNTYOFIuolAue._ycn COUNTY OF YB1-
The rn,going instrum.n►—2i;2&Mcb I dg—d F eFore me The forgoing instrument was acknowledged before me
this dam of gyp_ hm this 13 day of APRIL 20L by
Warne of person making statsm-ot dame of n+erson making statement
Personallv Known x OR Produced Identification 2e-sonally Known x OR Produced Identification
Tvee or Id-ntrfi'atlnn Type of Identification
Broduced Produced
(Signature of Notary Public-State of Florida 1guatu.e or Wt2ry:u'-lic-Nte o�E 7C R!STY I IrHE
Commission No. {��al) Commission No. T � Q7 -' Cr>r"missron u
+ dr'
Ally Curnons'rOctober 2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17