HomeMy WebLinkAboutbuilding permit ACC APPCIC SEE IMFO M11i i BE COIMPCETED FOR APPCICK 11019 10 BE ACCEP i ED
Date: 4/13/18 Permit Number:
v
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Building Permit Application
manning and uevelopmenr Services
nuilding and 4ode rregulation aivision
«DO virginia Hvenue,Tort Tierce rr 3k9az _
Phone: (772)462-1553 Fax:(772)462-1578 C.urmrmercial Re5iaentinl x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT COCATIUN:
Address: 6000 SPRING LAKE TER
Cegal Description: POR i OFIME)5FI0REb-PRAaE i iyREE-(P6 4s;40) ED i j55(OK«64--i 12;0:si55-50)
Property t ax ID u: 13 iz50o0 i3y0vvzF COL Igo.
Site Plan(game: Block Igo.
Project Name: GREAVES
Setbacks Front Back: Right Side: Left Side:
uE i AI[ED DE5t RIP i Iuly uF WURK:
A/C CHANGEOUT Iau Duu I vvuRR. IIgS I ALL uARMER 51 uIC 16SEER 1OFM
CONSTRUCTION INFORMATION*
itiona r.or to ormed under t is permit—check all apply:
ORVAC Gas ianR ❑Gas Pipine _SRutters I__.l winao .s/Doors
EleCtric U Plarr13ir15 1]bprinRler, U GcncraTvr 0 RvoT Root pitcn
I oTal a-y. FT vT I-on:;Treatian: S FT.or r:MT Floor:
Cost of Construction:5 � ay Utilities:Sewer Septic Building Height:
(3- wlvER/EESSEE: LUIq I ULI OR:
(game Yc CANDA A GRIEWEs (game: DENMb LAUER
A00rc:Iiu00 SPRING CARE TER CvrnpaMy: ARS
City: FORT PIERCE State:FE Address: 2800 US HWY 1
Zip Code: affVa1 Fax: City: vCr%o BI•n%PI Sake:FL
Phone Igo. r rc$c$601 i up Code: 3za6U Fax:
E-Mail: pRpne Ro, //1-194--1C06
Fill in fee simple Title Holder on next page if different E-Mail: CLIGHTSEY@ARS.COM
from .he Owner listed above) Stake or County License: CMC12r*9ra3
If value of cons ruction is$z3000 or more,a RECURDED IRotice of Commencement is required.
SURELFWNTAL CONSTRI ICTION I_IFN I AW IbIFCIRbdATI0bI:
DESIGNER/ENGINEER: _Not Agplicable MORTGAGE COMPANY: _Not Applicable
da me:YOLANDAAGREAVE5 N a me:DENNIS ZACEK
Address:WW SPRING LAKE TER Address: Roux SPRING LAKE TER
rjty; FORT PIERCE ±a±e; r i±y: VERO BEACH State:
'7ip: Rhone 'ip: phone;
FEE SIMPLE TITLE HOLDER: _Not Agglicable BONDING COMPANY: Not Applicable
Name: Name:
Address::!&-um—0 Address:
City: City:
Zia: Phone: Zip: Phone:
QXMWCD/rnWTDArTQD AEcIQWIT: Applicat'on is herebv 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 issuaoee of a pa-mit.
Ct.Lgfi-r.0619t 021.e5 an� Q. .--Rt2ti-o that is¢-aotiae a D—mit...ill autho1ze the ppe-mit holder to build the subject structure
which is in conx ct with any applicable home Owners Association rules,bylaws or ancLcovenants that may restrict or probihit ruck
structure.Please consult with vour Home Owners Association and review Your deed for anv restrictions which mau ag_lu.
Io cerasideratiora of tie graotiog of thi:-eguert-d g--mit, I d-1---e_l-v ae-ee that I •ill,in all respects,perform the work
in accordance with the agoroved plans,the Florida Ruildine Codes and St.Lucie r-ounty Amendments.
The followine building germit agglications are exempt from underpoinp a full concurrency review:room additions,
am-story st,untu,nz,&...imminne Roal=, • ells,sieez,='.Pen-o-Ins and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in Your gaYine twice for
improvements to your property. A dotice of commencement must be recordgd 20 posted on the jobsi±e
before the first inspection. If you intend to obtain financing.consult with lender or an attorney before
commencing work or recording your dot--ice of rornmeacement.
Signature of❑wner/I essee/f ontractor as Agent for!2wner I Signature of contractor/I ifebse Holder
STATE OF FLORIDA cTATG pG Ei 13RIDA
COUNTY OF immaw 21,,E-2 COUNTY OF 1u^••u21=
Th.fn,gniog iost'umPnt'•2S acL-do••'ledged F.efo.a m- The forgoing instrument was aci,nowledg d efore me
this_day of ?I]_ hu this 13 day of APRIL 24 ff�bv
dame of person maI'iog stet-meat dame of person malting statement
Personallv Known " OR Produced Identification Personally Known x OR Produced Identification
TVP-of IdeGilfiE!20^7 TYQD of Id-otifieatio^_
Produced Produc
#Signature of Notary Public-State of Florida) Irienatm-e of aV tary I:ubli at
Commission No. ��'I � C=} Commission No. F9 =; eat1� °l�scl:. _ z 045
i �� tray-':--cyil�$IUII f,MI lltti
,�a l��i•`• October 212. 0 9
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW RF%/IF+Af RF+fIEXAf REVIEW RF111MA!
DATE
RECEIVED
DATE
I COMPLULL
Rev.$12/I7