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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: t ? =Wclo Building Permit Application 15'201915 Planning and Development Services 4T. ,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 FROPiOSED I,I�/IPROUEMENLOCATION Address: Li As Wm Legal Description: (3 Y LQt 0%4 Property Tax ID#33A_— _70—) — MS-(n'( Lot No. Site Plan Name: \-+eeJ\j Block No. Project Name: Setbacks Front Back: Right Side: Left Side: ®ETAILED KCRIF ION OFW®RK: °`KW , TON �5- SEER T T ®IvGMA CO ,NS`1TRUC�TI40N INFOft �,�,; 1y Ad,ditional work toe e orme under this permit—check a appy: HVAC Ei Gas Tank E]Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers ElGenerator 0 Roof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction:$, ���� Utilities:nSewer OSeptic Building Height: Name_ 3 a CL M Name: MARKAVINES Addr ss:!&I Al UY&_-, W 94 Company: AZTIL City:_n c� Z G9.c i4 State:Ft-- Address: 2540 S MILITARY TRAIL Zip Code3qqoo G Fax: City: WEST PALM BEACH State:FL Phone Nd�% (931 -11 R5_" I 010 Zip Code: 33415 Fax:- E-Mail: ax:_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. SUPPLEMENTAIL ®aNSTRU�CTI�©N LI'E�NLA�WIINIF�®IR�MfATIs©NS _ Y RN " DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name:MARKAVINES Address: 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 corrinagrIng work or recorS4ng your Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contra ctor/L cense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF PALM BEACH COUNTY OF PALM BEACH The��P r ping instru Ae t was acknowledge before me The forgoing instru ent was acknowledged before me thi�l�day of r' 20 acknowledged this9k day of 1' 1 2014 by MARK A VINES MARK A VINES Name of person making statement Name of ps n making statement Personally,Known OR Produced Identification Personally Known T OR Produced Identification Type of IdentificatioP( Type of Identification Produced ;Produc Ig i? a of zta - i natu o r P - t t of lorida) , 00p Notary Pu�IIi-�s-�St`ate of Florida °1pvY?os� Notary P i to of Florida ommis •on N s° ohn Ed4p Gifford Co m ion No. My Commission G 47815 , John Ed ifford y Q My Commission GG 147815 Expires 12/17/ 1 �0, Expires 12/17/2021 RE S FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW- DATE RECEIVED DATE COMPLETED Rev. 8/2/17