HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I (, 5J 0413
Date: Permit Number: IVCCI(J IJ Y_J
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COUNTY A Pel 7818
Building Permit Application $`k `�i@ttn,
Planning and Development Services B `
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED"IMP'ROV;E'M?E',NT LOCATION:
Address: 7705 WHITE EGRET LANE
Legal Description:
EAGLES RETREAT AT SAVANNA CLUB PHASE 2 ,
Property Tax ID#: 3424-702-0179-000-1 Lot No. 181
Site Plan Name: Block No. 63
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Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESRIPT'ION OF WORK:
4 TON
14 SEER
10 KW
CONSTRUCTION Is;'IFOR9MATIO NJ':
Additional work to be performed under this permit–check all h apply:
❑✓—HVAC _Gas Tank []Gas Piping Shutters Q Windows/Doors
ElElectric ❑ Plumbing Sprinklers _Generator I I Roof Roof pitch
Total Sq. Ft of Construction: 1,475 Sq. Ft. of First Floor:
Cost of Construction:$ 4,775.00 Utilities: _Sewer _Septic Building Height:
OW)NfER/LESSiEE;: CO°'NTRACTOR
Name: LINDA GIORDANO _ Name: MARK A VINES
Address:7705 WHITE EGRET LANE Company: AZTIL
City: PORT ST. LUCIE State:_ Address: 2540 S MILITARY TRAIL
Zip Code: 34952 Fax: City: WEST PALM BEACH State:FL
Phone No. 772-340-2079 Zip Code: 34952 Fax: 1
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.
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!SUPPLEMENTAL LI'E'N LAW INFORMATIO'N.: •
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name::LINDA GIORDANO Name:MARKAVINES
Address:7705 WHITE EGRET LANE Address: 7705 WHITE EGRET LANE
City: PORT ST.LUCIE State: City: WEST PALM BEACH State: I
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. I
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 r st inspection. If ou intend to obtain financing, consult ' lender or an attorney before
comm- ci r g work or reco .r g your Notice of Commencement.
Si.nature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF TATE OF FLORIDA,
COUNTY OF FLORIDA,')ral( r'Yn J COUNTY OF r irf• 6
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this /S day of m0. \ ,20k$ by this1_5_day of ( \4.41 ,20((1 by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifica.ion ype of Identification
I,1 Prod c d I, VI oduced '
� ,o . Public State of Florida 4
' /�P9Srs"N. Notary Public State of Florida Pj'
�° My147815
py , or/� 1
(Signature of ot�1,. .a.. . (S gnature if N•, •I Pub -- . e o ori.a I
Commission No. (Seal) 1 ommission No. (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17