HomeMy WebLinkAboutbuilding permit ACC APPEICA13CE 09170 mOa i Bt CURIP[ETO FUR APPLICATION TO BE ACCEPTED
Da.e: y y;6-21 tC6 Permit Humber:
- —Budding Pe, mit Application
rronning ana aeveiopmenr,)ervices
suirtfing ana CoQe Kegurotion u;v;s;e..
[ytm virg;n:o HFffv,rorr P.C.�rL J27SR91
rnone: i//L]zF61-sari Fax: l//1]Zf6L-1S/S Commercidl Residential _��
PEtiMI I APPEILA I ION FOR: TU Select from drupbu,&, dck arrUw at the and of line
PRuPu5E0 IRIIPRuvEIMEMI [uC—AIluly:
Hal7ress: Y,QSSCk 'nCk_ Lcat'1f—
Legal Description: I
ProNerty Tax ID#: cot fro.
Site Plan Name: Block fro.
Pro;ect Name: Fi—cxn 1 7
Set6acI?3 Front Back: Risht Side: Left Side:
DETAILED DESCRIPTION OF WORK_
Replace AC, exact change out with 3'S tcn, I 'f SEER, a KW AC unit
[CONSTRUCTION INFORMATION:
Adclitio�,.l work to rformed under this permit—check all apply:
In
0FIVAC Gas Tank DGas Pipine _Shu«ers Q Windows/Doors
U Electr"v 0 Plumbin6 U❑5prinklers Genera.or Roof Roof pitch
i vtal bq. Ft of Construction: S . F..of FlrSL Floor:
Cost.of ConSLruCLion:5 g- 'u�ili�ies:��oewer Eleptic Building R.iz5Mv
OWNERlCESSEE: CONTRACTOR:
(Came Name: oennis"W
Address: L g Company: AR5 American Resitlemial services
Ci►y: ASL 3LaLe: L Aaaress• Lsao oa R-,
zip Co Ile: CA Fax: Lit,: Vero Beach State:FL
PRvne ICv.- to yIo 40Y a Zip Code: 32960 Fax: f f� r�4-yra3
E-Mail: Phone No. 114 /ii'l-fe 15
Fill in fee simple Title holder on next page I if different r-17laic
from trie Owner ilstee aoovet State or County License: CMC1249753
Ir value oT construction i.$zboo or m.rs_ a RECORDED Roti%e of commencement Is required.
SuPPEERnER iAL CUN5I KuCTION LIEN LAW INFORMATION:
DEaIGRER/ENGIRIEER: x Igot Applicable IVIORI'a/AaE CC4ivirml4T: =Mot Applicable
Dame: Dame:
Address: /Address:
City: State: City: State:
Jp: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Nut Applicablu BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phonz: zip: Phone:
I certify that no work or installation Ras commences prior to rMe Issuance of a permit.
St.Lucie County makes Rio representoti-n tR,.t I.granting o per...it will aUtniorizc tine ermit Flolzler to 60ila tn.�tlo;cCt'treptarc
wMicn is in contliR whit any appiicaBle Rome Owners Association rules,Bylaws or and covenants tRat may restrict or proAisit such
structure.Please consult with your Home Owners Association and review your deed for any restriCttions which may apply.
in consideration of the granting of this re-quested permit,I do hereby agree tFiat I will,in oil.espcct3,perfform the work
in accorsance with the approved plans,the rlorida Bullding Lodes and 3t.Cucie County Pimendments.
I ne following Buhsing permit appllcatlons are exempt from un'oergoing a fuli concurrency review:room as'ultions,
accessorq structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-r�31ae"tial wee
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A 14otice of Commencement must be recorned and posted on the jobsite
before the first im peeTion. if you intend to obtain financing, consult with lender or an attorney before
�I
s
_signature of O er/sessee/Agent signature of Contra r/Cicense Fiolaaer
STATE OF FLORIDA STATE OF FLORIDA
COGiv I T irF Sltud- CviiN I T UP sauce
I Me f—.P5a.-g insirarnemi:was aMlowlesges before me I FCC Torgol'ng in3tren,ent W.—oexrio rZI,ca 6eia.-a Me
t111si ray of <'u by thisc2�a day of 20 j&by
Denniz Zacek Dennis Zscak
(19-me (Dame of person acRnowl�ag' 1
Signature of Notar yy lic-State of Florida (signature of Rotary Pu ic-state of Florisa}
rersonally Rnown X UR Produced Identification Per,onally Known x OR P.oaerea laentitieotian
I rpe or laentiti.-tion Wq-tic'99 iype of isentincation Prosucra
F• A bt i if A 17ERBY
Commission No. FF2z '` MY C0 51oN a FF2zeg3v Corner:slon Igo. FF220930 ; MY C(%*M)SSIuN p FF2zt1930
EXPIRE5 April 15.201V EXPIRES mrit ta.zu19
��ef,:•-�•sa FbnOSMac=y9 — '+•IL'li f�19•I1•s] fbn0=Nor.
tcevised 0 ia/LO14
REvIevvs PROM f-URIRu sOPERvbvn PMR3 vEGETAi1014 SEA TieniCE IVmMGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REvIEW REVIEw
OA I
COMPLETE
ilgi I IHI3