HomeMy WebLinkAboutBuilding Permit Application I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `J Permit Number:
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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
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PROPOSED I-MPROVEMENT LOCATION:
Address: 10600 S OCEAN DRIVE UNIT 409
Legal Description: OCEANA SOUTH CONDOMINIUM II UNIT 409 AND UNDIV SHARE IN COMMON ELEMENTS
(OR 595-895: 1276-117)
Property Tax ID#: 4511-517-0046-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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KW 7 INSTALLING RHEEM AIR HANDLER ONLY- CONDENSER IS FIRST CO 30WCkAl2AB
TON 2.5 THIS MATCH IS GRANDFATHERED IN - NO AHRI
SEER 14
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CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all appy:
❑HVAC 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:$ 2700.00 Utilities:Sewer[]Septic Building Height:
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OW N ERAESSEE: CONTRACTOR:
Name JOHN TARNOGURSKY Name: MARKAVINES j
Address: 10600 S OCEAN DRIVE UNIT 409 Company: AZTIL
City: JENSEN BEACH State: FL Address: 2540 S MILITARY TRAIL
Zip Code: 34957 Fax: City: WEST PALM BEACH State:FL
Phone No.973-647-7214 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$2500 or more,a RECORDED Notice of Commencement is required.
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Date: `���� Permit Number:`
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RECEIVE®
Building Permit Application
JUL 0 2 9.01Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST--Ludo,County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 10600 S OCEAN DRIVE UNIT 409,JENSEN BEACH, 34957
Legal Description. OCEANA SOUTH CONDOMINIUM II UNIT 409 AND UNDIV SHARE IN COMMON ELEMENTS
(OR 595-895: 1276-117)
"Property Tax ID#: 4511-517-0046-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
RETAIaLED BESCRIPTI IIN OF WNOffl<
KW 7 INSTALLING NEW CONDENSER ONLY THAT IS MATCHED WITH EXISITING
TON 2.5 RBHP A/H.
"C wa JNSTRUCTION 1UFORMATI0 :
Additional work toe e orme under this permit—c ec a appy:
HVAC Gas Tank F]Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers 1:1 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3100.00 Utilities:Sewer E]Septic Building Height:
O.W,N E R/.LE'S:S E E;:
CONTRACTOR,-,
Name JOHN TARNOGURSKY Name: MARK A VINES
Address: 135 JACKSONVILLE ROAD Company: .AZTIL
City: PEQUANNOCK State: NJ Address: 2540 S MILITARY TRAIL
Zip Code: 07440 Fax: City: WEST PALM BEACH State:FL
Phone No.973-647-7214 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.
SSU[P(PLiEiMIEiNT/AL(CO�N`STR(UICTION 'LtE'N LAW INFO'R'MiATIDAM
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: JOHN TARNOGURSKY Name:MARKAVINES
Address: 10600 S OCEAN DRIVE UNIT 409,JENSEN BEACH,34957 Address: 135 JACKSONVILLE ROAD
City: PEQUANNOCK 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 f' st inspection. If you intend to obtain financing, cons ith lender or an attorney before
comme in work or recordin our Notice of Commencemen
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Sign&ure of wner/ esse 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 / day of J 14 ►�tq 20-ff by this / day of J G 20J9 by
MARK A VINES MARK A VINES
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Persona Known OR Produced Identification
Type of Identification Type dentI ication
Pro ed Pro ed—
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$ Notary Public State of Florida Notary Public State of Florida
Analisa Whiting Analisa Whiting
My Commission GG 339912 My Commission GG 339812
ignature of Nota o F o ' (Signature of Notary bli to o Ioisi
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17