HomeMy WebLinkAboutBuilding Permit Application Sep 2415 09:17a Kyzar AC 1 561 p.1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED SEP 24 2015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fart Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 10680 S.OCEAN DR#705 JENSEN BEACH 34957
Legal Description: ISLAND CREST CONDOMINIUM UNIT 705 AND UNDIV SHARE:IN COMMON ELF�AENTS(OR 3589-1217)
Property Tax ID#: 4311-516-0072-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: left.Side:
DETAILED DESCRIPTION OF WORK:
AIC CHANGEOUT Ib NQ
CONSTRUCTION INFORMATION:
AcIdnionai work to be neFffirmeii under t ispermit—ChOCK all appy:
HVAC E13as Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing U Sprinklers Generator Roof
Total Sq.Ft of Construction. S .Ft.of First Floor:
. C.0
Cost of Construction:$ t 2-5-CO Utilities: Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
NarpeMOANA MANAGEMENT Name: DAVID KYZAR
Address:153 OCEAN BAY DR Company: KYZAR AIR CONDITIONING
City. JENSEN BEACH State.FL Address:87 CUYAHOGA RD
Zip Code: 34957 Fax: City: LAKE WORTH State:FL
Phone No.954-553-1778 Zip Code: 33467 Fax: 561-689-9183
E-Mail: Phone No. 561-640-1000
Fill in fee simple Title Holder on next page(if different E-Mail: DAVIDKYZAR@BELLSOUTH.NET
from the Owner listed above) State or County License: CAC1814778
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
Sep 24 15 09:17a KyzarAC 561 p,2
SUPPLEMENTAL CONSTRUCTiON LIEN LAW INFORMATION:
DESIG NERIEN G I NEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: !Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable 1 BONDING COMPANY: X Not Applicable
Name: %Jame-
Address- Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie county makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure-Please consult with your Rome Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that!,ME,in all respects,Perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The he following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory struct tures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
coPMTh_ffn_9_—_W0rk,pr recoWin
a your Notice of Commencement.
S
to of Owner/Lessee/Agent Lra
Sign-atL Signature of Co 6 o irin s�e_Voider
STATE OF FLO'RIDA I STATE OF FLORIPA,
COUNTY Of
C_� COUNTY OF. Kq I rr.-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this
_L_day of 20 15 by - 4 day of 75-�.;,��i by
this 1 20 i-.j
. 1`11�M- 11"..
(Name person acknowledging) -11 (Name of person acknowledging)
C'— ........
(Signature of Notary Public-State of Florida) (Signature of Motar .
,,Public-State of Florida,,
Personally Known OR Produced ldenti MT rn 9 Personally Known OR Produced Identificatioro N S
Type of Identification Produced Type of Identi-H cation Produced
rn
Commission No7 C. (Seat) ommission Na. !Seal}
tr
Revised 07I1512014
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