HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
"ISO
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 417 SE VERADA AVENUE
Legal Description: RIVER PARK-UNIT 4BLK 32 LT 46 (MAP 34/28N) (OR 1019-2395)
PropertyTax ID#: 3419-530-0046-000-7 Lot No. 46
Site Plan Name: Block No. 32
Project Name: POGGIOREALE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
I
EXACT A/C CHANGE OUT KW 7
2.5 TONS
16 SEER
CONSTRUCTION INFORMATION:
Additional work to a er orme under this permit—check a appy:
HVAC n Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing []Sprinklers F]Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 4425.00 Utilities:Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR: _
Name JOSEPH POGGIOREALE Name: MARK A VINES
Address: 417 SE VERADA AVENUE Company: AZTIL
City. PORT ST. LUCIE State: FL. Address: 2540S MILITARY TRAIL
Zip Code: 34983 Fax: City: WEST PALM BEACH State: FL
Phone No. 772-878-6356 Zip Code: 33415 Fax:
E-Mail: Phone No. 561-433-2197 '
Fill in fee simple Title Holder on next page( if different E-Mail: PERMITS@AZTILAC.COM
from the Owner listed above) State or County License: CAC049253
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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 Home 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 I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,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 th spection. If you intend to obtain financing, consult ith lender,or an attorney before
com cin rk or recording our Notice of Commenceme
Signature of Owner/Lessee/Cont for as Abrlt for Owner Signature of&Conse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY COUNTY OF ST LUCIE COUNTY
The forgoing instrument was acknowledged before me The forgoing instr=nt was,acknowledged before me
this Al day of JL1 ne__ 20 11?by this ly day of Jk 11+L 20 111 by
MARKAVINES 1 MARKAVINES
(Name of person acknowledging) (Name of perso owledging)
otary P -State of Florida) re Ic- orida)
;P;er!:ryy_'Kn`own x OR Produced Identificati Personally wn x OR Produced Identification
Type of Identification Produced Type o entification Produced
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Commission No. =oto""``B;'; HN E RD GIFFORD ommission No. 2••" jGHN �RD GIFFORD
o,..i_..
*' MY COMMISSION#FF077427 l
.. a; * " fMY COMMISSION#FF077427
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•'•FOF - OFpP,•` IEXPIRES December ,
Revised 07/15/ >398-0,53 FloridallotaryService.com (407)398-0,53 Floridallotaryservice.com
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