HomeMy WebLinkAboutBuilding PermitALL. APPLICARLE INFO MUST BE 0D.MPIL= FOR APPLICALTICM TO BE AOnFFED
Date:
Permit Mu mbar:
BuildingPermit Application
PkwmMg vrW Dryekwffmi7t Nervkes
HiWiffnq and Code Regufttian MrWOM
2300 Wrgfnfa Avenue, Fort PkYee ;134992
PtKoe.jM452-1553 Fax: (772)4G2-1579 Commerdal Residential X
PERM 11T APPLIC-AT] ON FOR: To Sellea from dropbox. cltk, -emw at the end of line
PROPOSED IMPROVEMENT LOCATIOl�1':
Addres�.: 31' E PRIMA fISTA. BLVD
lagaI> criPtiosks RIVER PARK -UNIT 4 BLK 38 LOT 10 (MAP 34t28N) (OR 3936 1 383)
Property Tax ID 4;:
Site Plan Name:
Rrojz'd !Mame;
Setbacks Front klack-, Rlpjhk Sid -u:, I -eft Side:
DETAILED DESCRIFFION OF WORK;
AK�' , Change oW like for like Install to existing, ductwork and Cooper line.
Payne straight cool- 3T, BKVV, 14 Seer
Totol SQ. Ft of ciumtruU40n.-
cost Of Cl�odion-, :S 69
QWNER/LFSSFE-
6TBk6ca'
Add,e�'Phiei Lqdvre UP
P:SL
City: %Az�:
34984
Phone No. 51�1 245-53B1
E -Mail:
a�pli-
L-JShutters
Ij'3encrat-cw
Sq- Ft of FIM Floor:, _
utilities- L Sewer F—]Septk
Fill in fte sFrnplc Title FlPldcr on nest Page ( if Wkwerit
from the Owner listed above)
CONTRACTOR-.
UA No,
Block No-
E] Windows/Doc r2
URoof Root pitch
Buiding Hei@h.t:
Name: 0 rcje r&15M10
Company: Cirand Elednc Lsk) Air Condmoning,
307:3 :5W Ann Arbor rc,
W- State -
Zip code, Fax
– 7 1 Z-452te --V T T3
Pkat NO.
E -Mail: gran adilmwoyahoo-com
Site or County Lkenw. QAC1 815557
1i value of constructiDn isor mrwa, a REWIROW Natice of Comm Me JS r@qLlh*&
SU PIPILEMENTA L CONS RU CTI ON U E N LAW INF R MAT[ON,
.. Mat AppUr-able
Name.
Address:
City: Statez
�i p-, Phunu
FEE SJM PLE TrMHOLDER-, Ncyt Applicable
Narriu:
Adclress:.
Gty:
Zip: Phone
MOKMAIGE COMPANY: NGt Applic-i [)je
Name,.
Addrew
aty, State,-
zip- Phone:
BONDING COMPANY- Not ApjAieable
Name-
Addrem:
Zip: Phone:
[OWNER/ CDKTRACrOlt AMI)VU: Appbeation is lheretiq made to tihtafri a permit to d'q ths7 work and installation as irzicateud.
a certify that roD work or installation has Lmmmenced prN;rtu thn FsLwanQe of pwmrt.
St- tulle CauntW mak4n rbo repre-sentatiork that is. granUng a permit will authorrixe thcfe
,,r-rnft holder to build the subiect Structure
whiclt Is In cmflick with sz applicable Rome Owners A7sociation rules,bVlaws or ar, ovenabrsLhaEm"restrict orprrDhibitm4:h
.7 "mmur-e- Please ONMUh W th Vaut Horne Owners, Aswriafmn and r",'eve yimr deed, for any restrictions whfeb rrsay ap-ply-
I n consideration of the gram of this reque.qr.d permFt, I do heF4?IN agree that I well, in all MEspetb, perfbrm ttm work
In acwrdance with the approved olam 4 the %rida RuildM& Cadc*;Pnd St. Lucie County Anwridments,
Tho EPILowirbg building permit applicaU13-ns, are emernpE fr-am undergoing a fvjI cm -currency rew:room additiam,
accessory SuUtture's" swimming PC.Dlr, Mrwe-.;, w;Rlls, sins, screen MOM aM 3wteswry urj!:c to another non-rp7iden-tial 6,Se
WARNING TO 0WINEW. Your failure to lReewd 2 Matice Of G*mntMvmcM nwy result in your paying twice -for
iitlprovements to yDur property. A Notice of Cornin encurnunt must be recorded and pasud op fhb job�itc
ore the first irkspecti art. If y-ou intend to obtailn financing, consu I't Wit) iender or 4n atturncy before
commencine work or rpcordina vaur Notic4g of Commencement_
Signature cel 0
as Afferyt for Owner i Signature 01 Conl
NATE OF FLORIDA STATE OF FLORIDA
C0l1lJ"TYCF C-OUN"
T;lv* f-51ping instrumeowicdEcd Wfore e
this A5_ daf Jm� 26 W Ly
—To C 6vMtj � ,
MamJ of persbqAaking --imumwst
Ptrsnanailv Known 1/ 00 Produced ldenuWcabm
Type of IdentIficatlon 7
Th'Pf ing instrun)ent was aonowledwi before me
this
N4?w of persimAaki-nE statement
PeffwrialliV KYKMn OR Produced kentilicatian
Npirofidentification
(3isna,ture of Kotary Pu tae OfFl.rLia � IMILLO Sltgn a tu re D F N ata ry Fu' 1 -1 fFlcTida'o
P i-1
31:2: # 01
Covnrni�gion Nom. OwOt&iin e rr 1 a-,-: Carnmir-dnn Nti%,
nIy Ourar.q. Expiria Oac
EMM'M' FR QWr ZONIIING SU PERU PLAKS VEGETATION F -EA N1Arq(._R1,)vz.
COUWER REVIEW ALMEW R]t'VIjjW FLYIEW REVIEW Rn'IE)N
LIM E
DATE
COMPLFr
Rev- 812/17