HomeMy WebLinkAboutBuilding Permit Applicaiton , i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ 0 q 0
Date: 6 0 ( 5 Permit Numbeh�°
c
OIMINININNINali
COUNTY ' 1
Building Permit Application RFCFIVFo
Planning and Development Services MAY 2
Building and Code Regulation Division 2019
2300 Virginia Avenue,Fort Pierce FL 34982 Permit
ryn9 oP
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resideh Y c n¢menr
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION
Address: 420 TROPICAL ISLES CIR H-31, FORT PIERCE, 34982
Legal Description: TROPICAL ISLES(OR 2786-2163)
Property Tax ID#: 3410-508-0211-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
'DIEM' DESCRIPTION OF WORK: ,
KW 7
TON 4
SEER 14
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all;hat apply:
HVAC _Gas Tank Gas Piping _Shutters Q Windows/Doors
ElElectric ❑ Plumbing Sprinklers _Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: r��'� S . Ft. of First Floor:
Cost of Construction:$ lig /V Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name ERIC VANDRAN Name: MARK A VINES
Address:420 TROPICAL ISLES CIR H-31 Company: AZTIL
City: FORT PIERCE State: FL Address: 2540 S MILITARY TRAIL
Zip Code: 34982 Fax: _ City: WEST PALM BEACH State:FL
Phone No. 772-341-7675 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!UIPiPILEMIEN TAL'CONSTRUCTION LIEN LAW INFORM/UM
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:ERIC VANDRAN Name:MARK A VINES
Address:420 TROPICAL ISLES CIR H-31,FORT PIERCE,34982 Address: 420 TROPICAL ISLES CIR H-31
City: FORT PIERCE 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 represu
sentation that is granting a permit will authorize the permit holder to build thesubject 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
commenc. w,,rk or recording your Notice of Commencement.
. G
,
Signature of Owner/Lessee/Cont 'oras 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 17 day of MAY ,20 f 9 by this 17 day of MAY ,209 by
MARK A VINES MARK A VINES
Name of person making statement Name of person making ate •-
Personally Known x OR Produced Identification Personally Known X 0• °'od -• dentification
Type of Identification T =- o entification
Produce. / •roduce•
„„dogixf,-
AidAr
,„' AgAr
(Signatu 111 -u /b, of Florida) gnature oyi dt'. •lic-State of Florida)
C•m ,issio No o`�`YP6B, Notary PuNiga::: e of Florida �' !
Commisson N. NotaryPub4��i31�ofFlorida
7t." , •hn Edward Gifford
y,-...,i, - Ex Commission G1 147815 4� el_..
; John Edward Gifford
'�Fof do Expires 12/17/2021 ter, c My Commission GG 147815
yfc, d,& Expires 12l17r2021
_
REVD S FRONT ZONING SUPE' ISOR PANS VEGETATRDi SEA TURTLE MANGROVE
COUNTER REVIEW R IEW REVIEW REVIEW REVIEW REVIEW
D, E
RECEIVED
DATE
COMPLETED
Rev.8/2/17