HomeMy WebLinkAboutBuilding Permit Application II
ALL APPLICABLE INFO MUST BE COMPLETED FOR.APPLICATION TO BE ACCEPTED
Date: �I Permit Number:
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Building Permit Application 61OZ E 9 Nbf
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 RQ3A1333#J
PERMIT APPLICATION FOR: Mechanical
IPR(OIP'O:SIE!D ;IIMIP'ROViE(MIIEINT ILOCATI(OX:
Address: 2818 THREE WOOD DRIVE, PORT ST. LUCIE, FL 34952
Legal Description: LINKS AT SAVANNA CLUB(PB 40-39)BLK 37 LIT 12(OR 3290-692)
Property Tax ID#: 3425-707-0112-000-2 Lot No. 12
Site Plan Name: Block No. 37
Project Name:
Setbacks Front Back: Right Side: Left Side:
IDIET(AIIILED DiESCR`I!PTI;OIN (OIF`,VORK:
KW 10
TON 3
SEER 14
1,(0'01,N'!SITR',U-'�C,TilcO!iN .11NIF,OIRIMAIT11,;,OIN,.
Additional work toe e orme under this permit—check a appy:
11HVAC E]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:$ 4550.00 Utilities:n Sewer Septic Building Height:
t01WIN'IE'R/LESSEE: CO'NTRA'CTOR:
Name PAUL CARRIER Name: MARK A VINES
Address: 150 ROYAL OAK DRIVE Company: AZTIL
City: SOUTHINGTON State:CT Address: 2540 S MILITARY TRAIL
Zip Code: 34952 Fax: City: WEST PALM BEACH State:FL
Phone No. 860-919-2880 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.
SUIPPL'EMfEiNTALCO.N'STRUCTION LIEN LAW INFORMATION-,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: PAULCARRIER Name:MARK AVINES
Address:2818 THREE WOOD DRIVE,PORT ST.LUCIE,FL 34952 Address: 150 ROYAL OAK DRIVE
City: SOUTHINGTON 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 fl*t inspection. If you intend to obtain financing, consult with lender or an attorney before
commen ' work or reco_r;ling your Notice of Commencement.
Signifture of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledgebefore me
this 23 day of JANUARY 20by this 23 day of JANUARY 2( 4 by
MARK A VINES MARK A VINES
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Pu ed
37'p •�°u�� Notary
�Flwid, / =oyr�'u�n N'U
otary Public State of Florida
(Si ature of Not M?-te�2fQ�1blGG 147815 ( ig ature ofWay bpie d�fvfgemim3gon GG 147815
Expires 121 '71T2121 t D?of do Expires 12/17/2021
Co ission No. Commission No.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17