HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE CCEPTED LI
Date: 6/14/2018 Permit Number:
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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
P'R01POSIE D 'I"IV RR!OV,EMIENT!LO'CATIIO N
Address:
3813 NIMBLEWILL COURT
Legal Description: THE PRESERVE AT SAVANNA CLUB
Property Tax ID#: 3425-706-0122-000-2 Lot No.'s
Site Plan Name: Block No. 47
Project Name:
Setbacks Front Back: Right Side: Left Side:
DiETA,IiLEID DiESC;RaIIPTIiOIN OF WOIRK::}
10 KW
3.5 TON
14 SEER
COMSTRIUCTI'OiN 'I±NIF`OIRIMATI O!N::
Additional work to be nertormed under this permit—cfFeck all appy:
HVAC Gas Tank []Gas Piping _ hutters []Windows/Doors
Electric 0 Plumbing Sprinklers � enerator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ Utilities:-Se er OSeptic Building Height:
CI #E+R/LESSiEIE : CONT .ACTOR;;
Name RAYMOND FENELLY Name: ARKAVINES
Address:3813 NIMBLEWILL COURT Com pa
y: AZTIL
City: PORT ST LUCIE State:_ Addres : 2540 S MILITARY TRAIL
Zip Code: 34952 Fax: City: W ST PALM BEACH State:FL
Phone No.603-886-6651 Zip Cod : 33415 Fax:
E-Mail: Phone o. 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 o County License: CAC049253
If value of construction is$2500 or more,a RECORDED Notice of Commen ement is required.
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S°UPPLEMEN.TAL'CONSTRUCTION LIEN' LAW IN`'FORMAT ION':
DESIGNER/ENGINEER: _Not Applicable MORTGP GE COMPANY: _Not Applicable
Name: Name:MA RKA VINES
Address: Address:
City: State: City: WES PALM BEACH State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDIN COMPANY: Not Applicable
Name: Name:
i Address:2540 S MILITARY TRAIL Address:
City: City:
Zip: Phone: Zip: Phone:
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OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obta n a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of permit.
St. Lucie County makes no representation that is granting a permit will autho ize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,byla s or an covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review yo r deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree t at I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lu ie 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 Commen ement may result in your paying twice for
improvements to your property. A Notice of Commencement m st be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, con ult with lender or an attorney before
commencjP47work or recordigg your Notice of Commencement.
Sign ture of Owner/Lessee Contractor as Agent for Owner Sig atur f Contractor/License Holder
STATE OF FLORIDA STATE F FLORIDA
COUNTY OF PALM BEACH COUN OF PALM BEACH
The forgoing instrument was acknowledged before me The forg ing instrument was acknowledged before me
this 14 day of JUNE 20_ by this 14 day of JUNE 20_ by
MARK A VINES MARK A VI ES
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 dentification
Produced Produc
G
(Sig ture of Nota c- a e o o l a (Sig at a Notary P b ic- a or
��► Notary Public tate of Florida c w CJ John
uwl c State of Florida
^ John Ed rQ,d''�Ifford = John Edward Gifford
Comm ion No. ' _ y Comm q G 147815 Com 5 n No. My Com f;®@I)GG 147815
EpF a
Expires 1 /17/2621
Expires 12/17/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIE REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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