HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^�,n�
Date: Permit Number::' I IIVVJ ��✓W
=24
_ -
s
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 ]MPROVEM ENT LOCATION:
Address: 2852 EAGLES NEST WAY
Legal Description: EAGLES RETREAT AT SAVANNA CLUB PHASE 2 (PB 43-21) BLK,62 LOT 29 (OR 3852-1520)
PropertyTax ID#: 3424-702-0148-000-5 Lot No.29
Site Plan Name: Block No. 62
Project Name: ROLF SEEBACHER
Setbacks Front Back: Right Side: Left Side:
DETAILED.DESCRIPTION OF WORK:
2 TON
16 SEER MINI SPLIT HEAT PUMP
CO=NSTRUCT=ION INFORMATION: s�;
Additional work toa performed under this permit—check a appy:
HVAC0 Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
ElElectric ElPlumbing ❑Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: 1724 St)SewerEl
of First Floor:
Cost of Construction: $ 3950.00 Utilities Septic Building Height:
OWNER/LESS'EE: CONTRACTOR. :
Name ROLF SEEBACHER Name: MARK A VINES
Address: 2852 EAGLES NEST WAY Company: AZTIL
City: PORT ST. LUCIE State:_ Address: 2540 S MILITARY TRAIL
Zip Code: 34952 Fax: City: WEST PALM BEACH State:FL
Phone No. 772-879-9715 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.
-SUPP'LEMENTALCONSTRUCTION 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 the fir inspection. If you intend to obtain financing, consult with lender or an attorney before
commen ' ork or recording our Notice of Commencemen
s
Signature o O er/Less /Contractor as t for Owner Signature o ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF PALM BEACH
The forgoing instrLgnent was acknowledged before me The forgoing instrument was acknowledged before me
this G day of J ti n-e— 20 Eby this a day of JUNE 20 n by
ejQ { yq y ' n rX MARK A VINES
(Name of person ackledging) (Name of person ackno le gin
(Sig ture of Notary ubli St to of Florida ) (tignture of Notary ublic- tat of Florida)
Perso ally Known Personally Known x OR Produced Identification
Type of Identification Pro ued'a`'; osati EnweRn GirmI=nRn Type of Identification Pinduced
{ i•v `tN�Y PUB''.:
MY COMMISSION#FF077427 =o: ��=,JOHN Mfi�t� RD GIFFORD
Commission No. `:�- a`.` ) Commission No.
EXPIRES December 17,2017 _Q�= MY CO ION#FF077427
(407)398-0153 FloridallotaryService.com °s'coFo?• EXPIRES December 17,2017
4U7 o a-0153FloridallotarySer%nice.com
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS