HomeMy WebLinkAboutBuilding Permit ApplicaitonALE HPPO A EE IRFO 171031 BE CORIrEETED FOK APr[ICA i IOM to Bt ACCEP i ED
Date: r�7 Permit Number:
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Bunaing Permit Application
r,anning ontt aeve,opment services
suiming anti Coffe negurarion aivis.an
rsai7 virginio Avenue, rort Tierce ri yz;_-,az
Fnone:i//L)zi5L-i3]3 Fax:[//LIz;I7L-1]/a Commercial Residential
PERM I APPEICR I IOR FUR: To Salact from dmpbc.&, click arrow at the end of line
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Legal Description: Jr )
Property Tax ID N:
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Site Plan Name: BIocK Mo.
Project Name: V onn i e, JVYr)SM- — -- ----
Setbacks Front Back; Righ,. Side: Left Side:
I DETAILED DESCRIPTION OF WORK: I
Replace AC, exact change out w
N0 Ufi W Dle'_K
CON5TRUCTION INFORMATION:
Ad*"nal work to orme un er
V_11� tars, SEER, KW AC unit
V IIHVAC L.J Gas Tank UGas Piping
11Electric 0 Plumbing L_JSprinklers
Shu«ers Q vvin0ows/Doors
Generator 1:1 Roof Root pi1CM
Total SN. Ft of Construction: ,rv"� 5 . F�. of First. Floor:
Cos► of ConsLrucLion: $ Q ! V�-}' _ L -A-1 Utilities: �e :�� _ bcptic Building Height:
UW M ERAB5EE:
COIF I K91- I U_R:
>vorr�
Name: Dennis caceR
Address:11)^rA 1,11V
Company: AR5 A ... LAowm RaJO.ritiai Services
Chy: state: _
A00.e,,: 2800 US Hrry 1
Jp Colle:34� oZ Fti�: —
City: Vero Beach ,tale: Fl�
Pnone No.i
Zip Cade: 3cy'ou Fax: r r� rta4-tires
E -Mail:
Phone Mo. r r� ray-rii5
Dill in fee simple , ode Molder on nexc page t iT mnerenc
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from cne Owner Ilsic:a avaz�j
Sta.e or Coun.y License: CMC; 1z4y/b3
it -MIAs vi vvn;trOalvn I, }csuu armor=,. RELURDED Novice of commencemends requlree.
SUPPEEMERIALGUMbIRUC OUM [109 LAW INFUKMA11019:
DESIGNER/ENGINEER: = Not Applicable
MORTGAGE COMPANY: x Not Applicable
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Name:
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City: Statc:
City: State:
Zip: Phonz:
Zip: Phun-=:
FEE a1mr-EE i I i Er- nOEDER: imoL mpplicable
HUNTING EXYMPANT: x loot ApplicaBle
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Mame:
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Andress:
Address:
City:
City:
f-ip: Phone:
I-ip: Phone:
1 certify that no work or installatlon has commenced prior to the issuance of a permit.
]t. [ucie County maKes no representation LMat is granting a permit Wlli auLliorize litepermit Voider iD Ouiid Tile sadjcct si�ncture
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or Nrohibii. sucn
.Lractare. Pic—c eom�alt =nn yvar mormc 0 -Me. AS3.J.Tien n8 rear a3;- decd ToF any ,-e.,t. ictivn3 nLfi M.y apply.
In consideration or tMe granting or tnis requested permit, I no nereRy agree tRat I w1l, In all re.pei:i-, peRerrm tilt -e. K
I.. accord.s-.re with tFe appro.-8 plums, tRe Florida Building Colles and St. Carie County Amendments.
The following building permit applications are exempt from undergoin5 a full concurrency review: room additions,
5eeez30- i irmRriirig pool,-, Teriec., -all , Tigris, screen rao Z and aCe=;a.—' p3e3 to ..natmc.r non-re318enti.1 a.0
WARNING TO OWNER: Your railare to Reco.-d a lgoti-e of Com-enee...ent may result in your rayins twice for
improvCn1erLts LU your prop, F �y. A Notice of Commencement must be r ecorded and posLed on the jobsite
before the fir3t in3pectioFi. If you intend to obtain finan-ins, Cvn3ult with lender or an attorney before
REVIEWS
FRONT
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_ Sis..utar. at C er/ Cc,..c/Asent
31enature of Contra 60 r/I icense polder
oIAIE Or rEiyRIWA
aiAl a yr FLORIEIH
COUNTY OF
COUNTY OF a"
he -f -r. instr eas cknowledxed fore me
thiay of I 20br
i lie r r ding instru n was cRnowleage Tare me
this day of 20 by
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Dennis Zacak
Dennis Zscek
(name of person ac wledgina )
� P 1A rl? Y1
(game of person acknowle g j
(3ignature of votary r - tate o> Florida }
(:g arwe or Pulslic- btat� or HoAd )
Per.or,ally Kn.—;.m x Ux Produced Id...tircution
Personail, xno-n x OR Prodaecd lilemLlTlcoLle.-.
I ype of Iaent4ication rroducea
H ype of Identification rroduced
�en+rni�.iv- Rte. FF220930 (yeol}
%.0 mission Mo. rraee�,
.`u"";; COLEEN SULLIv
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SULLIVAN
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Revised 07/15/2014 AplRea pearuery a, Boz,
EXPrKES v.tiruary G9, 02
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VEGETATION
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ICImMUROVE
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REVIEW
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COMPLETE
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