HomeMy WebLinkAboutPERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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: Mechanical E
PROPOSED IMPROVEMENT LOCATION:
Address: 7215 MARSH TERRACE
Legal Description: MARSH LANDING AT THE RESERVE- PHASE TWO - LOT 63 (OR 2147-672)
Property Tax ID #: 3321-805-0028-000-8
Site Plan Name:
Project Name: SCIALDO
Setbacks Front Back:
HEAT PUMP CHANGE OUT
5 TON
14 SEER
Right Side: Left Side:
Lot No. 63
Block No.
CONSTRUCTION INFORMATION:
Additional work toa oerformed under this permit— check all Mat appy:
HVAC Gas Tank RGas Piping 1I Shutters Q Windows/Doors
Electric El Plumbing O Sprinklers � _ Generator 0 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 7675.00
S Ft. of First Floor:
Utilities:Sewer F1 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOSEPHINE SCIALDO
Name: MARK A VINES
Address: 7215 MARSH TERRACE
Company: AZTIL
City: PORT ST LUCIE State: _
Zip Code: 34986 Fax:
Phone No. 772-466-1559
Address: 2540 S MILITARY TRAIL
City: WEST PALM BEACH State: FL
Zip Code: 33415 Fax:
Phone No. 561-433-2197
E -Mail: PERMITS@AZTILAC.COM
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: GAG04920
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
BVI I IIIICI I%.[Iir, VVVi n UI I CI-uI UIIIg VVU( IVUUCC UI l.U))IItICI]GCIt] UHL.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of . 20 _by
1
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
�.�rcirrs��
1�l VIIDGU V//1J/L,V1`t
for/License Holder
STATE OF FLORIDA
COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me
this 19 day of JULY 20Q by
MARK A VINES
(Name of person acknowledging )
x
(SignatI of Notary publl\- 'hate of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No.
= JOHN EIRWAPD GIFFORD
i �_ �°.
MY COMMISSION #FF077427
EXPIRES December 17, 2017
(407) 398-0153
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