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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (/ Dater LTl �� Permit Number: l9 L7 S—, • r SION N ._``, UILDING 8 ZONING 2415. ' Building Permit Application i9 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue,Fort Pierce FL 34982 I o e County,, FL- Phone: (772)462-1553 Fax: (772)462-1578 Commercial R PERMIT APPLICATION FOR: Mechanical �P'R®7P`OSE® wr4sn�3..rez«..:.:...r-:.�-� �}....-..._ar;-x.....,�u.�:�:.�.:a�, �.�,_� - ;.k.ae.•. .:,.sw:,'�ur...... s..v ,,...�:'..;�-��r � ..�,.1�_,'._,s;' .. `?�a»`�'�.'�. '.,},�+..- =�^'�'a,o. .«a Address: 24 LAKE VISTA TRAIL UNIT 103, PORT ST LUCIE,34952 Legal Description: VISTA ST LUCIE BLDG 24.UNIT 103(OR 1115-2537-2385,2387) Property Tax ID#: 3422-500-0325-000-4 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: ®ETAILE�® ®E�S`'C�R�IlPTI®�N ®�F1N�©IRiK� 177y x KW 5 TON 2 SEER 14 CON0S5T_RU�C�9TI�®aNIINIFORiMATIIO�Nr �' f Additionalwork toa e 3 Orme under this permit—check a - apply:�a«j HVAC Ei Gas Tank []Gas Piping _Shutters Windows/Doors 11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 800 S Ft. of First Floor: Cost of Construction:$ 7J�0` �U Utilities:Cn Sewer Septic Building Height: OWNER/LESS,OE 7 - �.. 4 .. > ,.... . .. Name JANE MERGLER Name: MARKA VINES Address: 763 CENTRAL AVE Company: AZTIL City: SYKESVILLE State: MD Address: 2540 S MILITARY TRAIL Zip Code: 21784 Fax: City: WEST PALM BEACH State:FL Phone No.410-203-9999 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. SrU P PtLEMIBNT/A+L tCO,NSTRLU,,CTI,OiN •L°,IiEjN"LAWr�I N;FO',01MQ ATI;ONI:> DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name: JANEMERGLER Name:MARK AVINES Address: 24 LAKE VISTA TRAIL UNIT 103,PORT ST LUCIE,34952 Address: 763 CENTRAL AVE City: SYKESVILLE 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 commenciDMork or recordi our Notice of Commencement. Signature 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 acknowledged before me this 16 day of MAY 20_0 by this 16 day of MAY 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 Produced Produced (S gnat a of N t ub a e o Flo ic�a (Sig a i =o �Pu�n Notary Public tate of Florida a Notary Public State of Florida Co issio N _ John Edw�',3ti� Ifford =� John Ed �(� ifford y COfT1rT1155 AG 147815 OmmISSI N _ My COMMITAFd�1�G 147815 ",to Expires 12/17/2021 / 9n�oF�pExpires 12/17/2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17