HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number. O
51
MUSTS 10 1111
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Building Permit Application r
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 R
Phone: (772)462-1553 Fax: (772)462-1578 Commercial 1 Residential X
PERMIT APPLICATION FOR: Mechanical
P,ROPOSED:.,eli'IVIPROVEMENT LOCATIbN'c ";r
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Address: 8536 MARLBERRY COURT
Legal Description: SAVANNA CLUB
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Property Tax ID#: 3425-703-0114-000-4 II 1 Lot No. 30
Site Plan Name: i Block No. 23
Project Name:
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Setbacks Front Back: Right Side: Left Side:
DETAILED,DESCRI:PTION O.F WORK, mv, j I
10 KW i
3 TON I� s
14 SEER i
GO.NSTRUCTION I'N'FOiR`MATIO'N
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Additional work to e e Orme under this permit–check a appy:
HVAC Ei ❑Gas Piping Shutters Gas Tank — ;❑Windows/Doors
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Electric ❑ Plumbing Sprinklers L]Generator; El Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
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Cost of Construction:$ 4400.00 Utilities: Sewer❑_Septic ; Building Height:
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OWNE'.R/LE°SS'EE: CO'NTRAtCTOR,
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Name ROBERT ROBINSON Name: MARKA*',INES
Address:8536 MARLBERRY COURT Company: AZTILI
City: PORT ST LUCIE - State:_ Address: 2540 S MILITAkY TRAIL
Zip Code: 34952 Fax: City: WEST PALM BEACH i State:FL
Phone No.772-340-5528 Zip Code: 33415'! ; Fax:
E-Mail: Phone No. 561-433-2197-
Fill in fee simple Title Holder on next page{if different E-Mail: PERM ITS@AZTILAC.COM
from the Owner listed above) State or County License:; CAC049253
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is ri quired
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UIPPiLiE+M9EiNTA{L SCO N`SIRU`CTVON',"LIE N .LAW I`NF O R'IVI'A�TI
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:, —Not Applicable
Name: ROBERTROBINSON Name: MARKAVINES
Address: 8536 MARLBERRY COURT Address: 6536 MARLBERRY COURT
City: PORTST LUCIE State: City: WEST PALM BEACH i State:
Zip: Phone Zip: iphone".
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: i Not Applicable
Name: Name:
Address:2540 S MILITARY TRAIL Address: I
City: City:
Zip: Phone: Zip: Fhone:l
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OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
L 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 covenantsthat may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed forlany 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 accessoryjuses to another;non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in,ybur paying twice for
improvements to your property. A Notice of Commencement must be recorded an` p,osted on the jobsite
before the first inspection.off you intend to obtain financing, consult with lender o aniattorney before
commencing ork or rec ding your Notice of Comm ent.
Signature of Owner/Less ' /Contractor as Agent for Owner Signature of Contra i for/License Holder
STATE OF FLORIDA STATE OF FLORIDA i
COUNTY OF PALM BEACH COUNTY OF PALM!BEACH i
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The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 22 day of JANUARY 20_ by this 22 day of JANUARY 'i 20_ by
MARK AVINES MARKAVINES
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known I OR Produced Identification
Type of Identification Type of Identification
Produced Produced
0699 t re gYI`vot Gifford / ig'nature of ota' ,
/ My Commission GG 147815 !Nota Public State of Florida
�l Expires 12/ 7/2 1 John Ed
C7/ts
slo o. (Fe a? Commi Io o. I rffol¢ifford
ission GG 147815
i w Expires 12/17/2021
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REVIEWS FRONT ZONING UPERVISOR PLANS VEGETATIONSEATURTLE` MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED f
DATE
COMPLETED f
Rev. 8/2/17 ,
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