HomeMy WebLinkAboutBUILDING PERMIT 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
PROPOSED IMPROVEMENT LOCATION:
Address: 9034 PUMPKIN RIDGE ROAD
Legal Description. MAIDSTONE (PB 43-11) LOT 142 (OR 2701 - 2067)
Property Tax ID #: 3322-505-0151-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
A/C CHANGE OUT
5 TON
10 KW
16 SEER
CONSTRUCTION INFORMATION:
Right Side:
Left Side:
Additional work to bene
CONTRACTOR:
Orme
un er t is permit — check allrJapply:
Address: 9034 PUMPKIN RIDGE ROAD
Company: AZTIL
HVAC
Address: 2540 S MILITARY TRAIL
1I
Gas Tank
❑Gas Piping_
Shutters
Electric
F]Plumbing
Sprinklers
E
Generator
Total Sq. Ft of Construction: 2,128
Cost of Construction: $ 5875.00
Sq.
of First Floor: _
Utilities: I _I Sewer [I Septic
Lot No. 142
Block No.
Windows/Doors
Roof Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CHARLES H. MURNANE JR
Name: MARK A VINES
Address: 9034 PUMPKIN RIDGE ROAD
Company: AZTIL
City: PORT ST. LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 772-460-5835
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: CAC049253
I It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW I.NFO°RMATIONr
DESIGNER/ENGINEER: _ Not Applicable
Name: CHARLES MURNANEJR
MORTGAGE COMPANY: _ Not Applicable
Name: MARK AVINES
Address: 9034 PUMPKIN RIDGE ROAD
City: PORT ST LUCIE State:
Zip: Phone
Address: 9034 PUMPKIN RIDGE ROAD
City: WEST PALM BEACH State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 2540 S MILITARY TRAIL
Address:
City:
Zip: Phone:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 Commencemen ust be recorded and posted on the jobsitej
before the first inspection�f you intend to obtain financi , co sult with lenr or an attorney before
commwOng work or rec ding your Notice of Commen eme t. /
Alt
lz'�
Signa ure of Owner/ Lessee/Contractor as Agent for Owner
' natur of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PALMBEACH
COUNTY OF PALMBEACH
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 30 day of AucusT 201-7 by
this 30 day of AucusT , 20 1-) by
MARK A VINES
MARK A VINES
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ure of Notary c F �1) WARD G
D( ignat otar b := iF DWARD GIF OR
N #FF0774
M�YI
7 7742
cCPO�MMIS
Commission FF077 ; _ f? F� 42h December 17.20
7C)mmission N 077427 =:; aQ FXP 6ecember 17, 201
(407) 398,0153 FloridallotaryService com
7) 398 0153 FloridallotaryService com
REVIEWS
FRONT
ZONING
SUPERVISOFL
PLANS
V ETA N
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. SJ2J17