HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
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Date: Permit Number:
�� RECEIVED -
Building Permit Application AUG 2 2 2018
Planning and Development Services ST. Lucie County, Permitting
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 IMPROVEMENT LOCATION:
Address: 47 HUARTE WAY, PORT ST. LUCIE, 34952
Legal Description. ST LUCIE GARDENS
Property Tax ID#: 3414-501-1701-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
KW 7 '�-'rl c G k� OLS
TON 2.5
SEER 14
CONSTR.UCTIOIN INFORMATION:
Additional work toe performed under this permit—check a 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:$����. 0y Utilities: Sewer OSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name NORMA REILLY Name: MARK A VINES
Address: 47 HUARTE WAY Company: AZTIL
City: PORT ST LUCIE State: FL. Address: 2540 S MILITARY TRAIL
Zip Code: 34952 Fax: City: WEST PALM BEACH State:FL
Phone No. 772-340-2322 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.
`S'UIPPIL,EMMlEiNT/AL.CONSTR'UCTION LIEN LAW INFORM°ATI01M
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:NORMA REILLY Name:MARKAVINES
Address:47 HUARTE WAY,PORT ST.LUCIE,34952 Address: 47 HUARTE WAY
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 thepermit 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 firs spection. If you intend to obtain financing, consult with lender or an attorney before
commen j w rk or recording our Notice of CommencemerA
0—
Signature of Owner/Lessee/Contractor as Agent.for Owner Signalure of
Contra c or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALMBEACH COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20_ by this day of 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
Produce Produced
/(Signate Not I - t ori as� (Sign a ar
p6Notary ublic ate of Florida
JohnEdw��tfd Ifford vn�poi Notary Pubiic State of Florida
on N,. y CommiSJAR G 147815 Com ission �° 4; John Edw�r�dC�y 0147615
Expires 12117/2021
Commis
Expires 12/1712021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17