HomeMy WebLinkAboutMAHARALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Datc:Permit Number:
Bu ild inrg
Plonning and Development Services
Building qnd ()odc Regulation Division
2300 Virginia Avenue, t ort pierce FL 34982
Phonc: (772) 462-1,553 Fax: (772\ 462,L578
Permit Application
Commercial Residential x
I
I
PERMIT 1P To Setect from dropbox,
I nnoeose o_ foiArrrrrrr, -- -click arrow at the end of line
Address: 1260 COPEMJAVER ROAD
Lcgal Dcscription:
Propcrty "lax lD g. 2313-'123-0002-000-9
Lot No.
Sitc Plan Namc:Block No,
Projcct Name:
Setbacks Front Bacl<: _ Fiight Side:Left Side:
LIKE FOR LIKE CHANGE OUT
4 TON 16 SI-ER B KW
total Sq, Ft of Construction;Sq, Ft. of First Floor:
Utilities: l-l r"*,', I t"ffi;----Cost of Construction. g 5410.00
OWN ER/LESSEE:CONTRACTOR:
N2mg MAHAR Name: JOHN LANGEL
Addrcss; 1260 COPENFIAVER ROAD Company: SEA COASIA/C
cit,,. lr-[ PIERCE St:r ir:r 'vrLy.Addrcss: 2601 INDUSTRIAL AVE 3
ZiP Codc: 34945 citr,' FT PIERCE St;rte: FL
phone 11s,464-7809 Zin Cnrjo. :34946 p3x. 466-3046
phone 11o. 466-2400
Fill in fee simple Title Holder on next page ( if different I r-Vuit, TLSEACOASTAIR@AOL.COM
from the Owner listed above)State or Countv License: CACO'16440
DETAILED DESCRIPTION OF WORK:
lf value of construction is $2500 or more, a RECORDED Notice of Com-rnun.u11,1"r,t iyuqriruA.
Not,Applicabl<:
State
FEE SIMP[.E TITLE HOLDER:_- Not Applicable
Namc:
Ad d rcss:
City:
zip:Phon e:
y-u_ur r!uLtLc ut LUtllrllencement.
of Owncr/ l_sec/Agen
BONDING COMPANY:
Name:--Not
Applicablc
Address;
City:_
Zip: _____ phone:
lccrtifythat no worl< or installation has commenced priorto the issuance of a permit.
i,tn'lifis,ll.#,Ii,ll'ts no rcprc'sentation that ll,Flg!!lc o pglmit will aLr.tho.r ne-thc pcrmit hotder to buitd the subjc,ct structurc:.tru.iuic p16;;;'i.;"i,ril,y,?,o,iJ'frfl's#sufip#ii:ij:,'""#,"fJ."*r*taiim#:Lvru,ii*ilt#i:f,#?f;:-i;nit:ii',':h
ln considcration of the granting'f this requcsted permit, Ido here by agrec that Iwill, in all rcspects, perform the worr<in accordancc with the approvcd plans, thc Florida Building cc,oes anJ st. Lucic County Amenoments.
The following building pcrmit applications arc exempt from undergoing a full concurrency review: room additions,acccssory structurcs, swimming poors, fcncc:;, wails, signs, screcn ioom and accessorv uses to another non-residentiar uscWARNING To owNER: Your failure to Record ar Notice of commencement may result in your paying twice for
I and posted on the jobsitc
o?an attorney bcfore
STA F FLORID
co J! Qf sr rucrr
riaty1c o\ t\otary pub aLe of Florida )'- '
Persorlallv](nown x Ofr Produced ldentificatron
Signat ontra ctor
STA FLOR
COUNTY Qf sr L_ucrr
efore me
by
The forgoing nstrument was ackno
this 13
___ day of J^N
Type of ldcntificat
Commission No.
cd
Revised 07115120)
RIVIEWS
DAii
COMPLETE
FRONT
COU NI'ER
ZONING
REVIEW
PLANS
REVIEW
VEGETA
REVIEW
SOR
t:W ANGROVT
REVII-,W
acknowledging )
(Signaturc of No
Pcrsonally l(rrown
Type of lQ6nIific.ion Produced
(Sca l)
of pcrson acknowledgi