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HomeMy WebLinkAboutBuilding Permit Application i. ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �f Date: Permit Number: • 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 RR,('O'POS{ED il!M'PR'OVEMIENT'LOCATI'O�N: Address: 7001 GULLOTTI PLACE, PORT ST LUCIE,34952 Legal Description: ST LUCIE GARDENS 24 36 40 BLK 2 LOT 6-LESS S 1155 FT-(1.25 AC)( MAP 34/24N)(OR 3145-1674) Property Tax ID#: 3414-501-1006-050-2 Lot No.6 Site Plan Nlame: Block No. 2 Project Name: Setbacks Front Back: Right Side: Left Side: :OIETAil LE D'iDIE�SCR'f PTl O?N O F',, �',ORIK KW 10 TON 4 SEER 16 'COIN4STR1UCT10N I'NiF-0RMAT10N: Additional work to be performed under this permit—check a appy: HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors LElectric ❑ Plumbing Sprinklers 11 Generator .Roof Roof pitch i Total Sq.'Ft of'Construction: S . Ft.of First Floor: Cost of Construction:$' 5200.00 Utilities:cnSewer E]Septie Building Height: (OWINIE R/`L'ESS EE: CONTRACTOR.; Name M rCPOLA,S Name: MARKAVINES Address: 700/ 6-(44_1—O T?"X_ Company: AZTIL City: ST LG Cil' LOtr•v20 State:f--LR Address: 2540 S MILITARY TRAIL Zip Code: �o�S'7'� Fax: City: WEST PALM BEACH State:FL Phone No. 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. i SUP`P..LEIMiEINTAL'CO.NSTRUCTION LIEN LAW I,N,FO-RMIATC©Nt DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name:MARKAVINES Address: 7001 GULLOTTI PLACE,PORT ST LUCIE,34952 Address: City: 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before commencim57work or recording Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signa f C ra o ense of r STATE OF FLORIDA STATE OF FLORIDA COUNTY OF PALM BEACH COUNTY OF PALM BEACH The forgoing instrument was acknowledged before me The forgoing instrume t was acknowledged before me this�day ofb 2019 by this3L day ofo L U b{(— 201ff 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 Produ Produce (Signatur ota ftr4tatLWet0rl9l5f 1 tate of Florida 'gnature ary PrF�,O�P',�N�,, N!MaryPub _ John Edwar Gifford c State of Florida M Comm�s�ion G 147 John Ed/w�ard Gifford Co i Ion No. xpires 12Y9' 20 Co i on No. h/IyComf aWGG 147815 rExpires 12/17/20 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17