HomeMy WebLinkAboutBuilding Permit Application i I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
I �7
Date: Permit Number: �'b0�' 0107
!
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
I
PERMIT APPLICATION FOR:
Mechanical
PROP'QSE'D:CM'PROVEME'NT LOCATION:
8154 13TH HOLE DRIVE !
Address:
Legal Description: LINKS AT SAVANNA CLUB(PB 40-39) BLK 35 LOT 2(OR 15;72-2047)
Property Tax ID#: 3425-707-0060-000-2 I Lot No. 2
i
Site Plan Name: Block No. 35
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED D'ESCRIPTI'ON OF WORK:`
14 SEER `
4 TON I i
10 KW
CONSTRUCTION INFO:RMATION: . �! �
r
itiona work to be nertormed under t ispermit—check all that appy: '
HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric E] Plumbing Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: 2,069 Sq. Ft. of First Floor:
4875.00 ,
Cost of Construction:$ Utilities: _Sewer[]Septic �, Building Height:
_I
`0'W!UEIR/LE'S'SIEE CONTRACTOR I
Name BONNIE LEE MCCLOSKEY Name: MARK A VINES I'
Address:8154.13TH HOLE DRIVE Company: AZTIL!
City: PORT ST LUCIE State:_ Address: 2540 S MILITA Y TR41L
Zip Code: 34952 Fax: City: WEST PALM BEACH State:FL
Phone No. 772-267-7754 Zip Code: 33415 I ' Fax:
E-Mail: Phone No. 561-433-2197'
Fill in fee simple Title Holder on next page (if different E-Mail: PERM ITS@AZTILAC.GOM
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.
I
I ,
i
'StUlPiPiLEMIEINiF/AL(CO',N'STR'UCTION LIEN LAW fNFO,RmA\TCQ :.
i
'I I
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY' _Not Applicable
Name: BONNIE LEE MCCLOSKEY
Name:MARK AVINES
Address: 815413TH HOLE DRIVE Address: 8154 13TH HOLE DRIVE
City: PORTST LUCIE State: City: WEST PALM BEACH ,;; State:
Zip: Phone Zip: Phone-'
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: I _Not Applicable
Name: Name:
Address:2540 S MILITARY TRAIL Address:
City: City: I
Zip: Phone: Zip: Phoned,''
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 thepermit hold6r to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenant's 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 fuses to another,non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may resul11 't in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the firs 'nspection. If you intend to obtain financing, consult with lender'or an attorney before
commen rk or recordingWur Notice of Commenceme
I
I I j
I'
Signature of Owner/ essee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF PALM'BEACH
�i
The forgoing instrument was acknowledged before me The forgoing instru ent w is acknowledged before me
this 8 day of JANUARY 20_ by this 8 day of JANUARY I 20_ by
MARK A VINES MARK A VINES
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally KnownIOR Produced Identification
Type of Identification Type of Identification
Produced Produced
i
,I I'
i
(Sign re of a u}{i -Sta%Q�gfiig�g�te of Florida (Sig ur ary P11
John Edward Gifford Notary Pubiic State of Florida
rpr�' n ' My Commis G 147815 0 Sion No. I �;' `�'i, John E��NNar�Gifford
xpires 12/17/2021 �p My Comd GG 147815
I Expires 12117/2021
I I
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGEfATIONI SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED ! j
Rev.8/2/17
I i
I
i
I