HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u u
Date: 3/12/2018 Permit Number: \'�o3'O 1 1 1
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Building Permit Applicatio RECEIVED
Planning and Development Services MAR 15 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST LU-00-CaNncy, pgrR,ltting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial en la
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9207 AVENEL LANE
Legal Description: PINES AT THE RESERVE LOT 24(OR 3896-1726)
Property Tax ID#: 3322-502-0030-000-8 Lot No. 24
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
14 SEER
7.5 KW
4 TON
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit—check all appy:
HVAC Gas Tank []Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing ❑Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 5325.00 Utilities:cn Sewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MICHAEL SINDONE Name: MARK A VINES
Address:9207 AVENEL LANE Company: AZTIL
City: PORT ST LUCIE State:_ Address: 2540 S MILITARY TRAIL
Zip Code: 34986 Fax: City: WEST PALM BEACH State:FL
Phone No. 772-834-9021 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.
1
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: MICHAELSINDONE Name:MARKAVINES
Address: 9207 AVENEL LANE Address: 9207 AVENEL LANE
City: PORT ST LUCIE State: City: WEST PALM BEACH State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:2540 S MILITARY TRAIL Address:
City: City:
Zip: Phone: 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 Commencement must be recorded and posted on the jobsite
before the t inspection. If you intend to obtain financing, consult with lender or an attorney before
commen4rrhwork or recordin our Notice of Commencement.
Signature of Owner/Lessee ontractor as Agent for Owner Signature of Contractor icense 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 12 day of MARCH201% by this?day of MARCH 20& by
MARK A VINES MARK A VINES
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(gnat e Notary r*Zj
o ll4tPR5 9State of Flonda ign of Notary Pub -S,prt f FIQ1ti3 �ubiic State of Ronda
Johnafd Gifford � John Edward Gifford
m 155ion No. My Comrr��S�SI G 47815 My CAs'YA,pon GG 147815
Expuast2f#0 21 mission No. MyC VQT/2021
as
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17