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HomeMy WebLinkAboutUntitled ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ' d- Permit Number: RECEIVED Building Permit Application JUL 2 4 2019 Planning and Development Services ST. Lucie County, Permitting 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 PROPOSE© 6MP;R®VE�MENT L®CATI®N: Address: 9601 S INDIAN RIVER DRIVE, FORT PIERCE, FL 34982 Legal Description: Property Tax ID#: 3519-4440003-000-7 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED D SSC«RIPTION Of WORK: KW 7 TON 2.5 E)C.'G-r SEER 14.50 C®NSTRU TION INF®RMATI®N: Additional work toe nertormed under t is permit—check a appy: HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors ❑Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: S'c Ft. of First Floor: Cost of Construction:$ 4,750.00 Utilities. Sewer 0 Septic Building Height: OWNER/LExS�SEE: ` ` ,, CON�TRACTtOR: Name THOMAS SLATTERY Name: MARKA VINES Address:9601 S INDIAN RIVER DRIVE Company: AZTIL City: FORT PIERCE State: FL Address: 2540 S MILITARY TRAIL Zip Code: 34982 Fax: City: WEST PALM BEACH State:FL Phone No. 772-344-5367 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. DESIGNER/ENGINEER: „Not Applicable MORTGAGE COMPANY: _Not Applicable Name: THOMASSLATTERY Name:MARK AVINES Address:0601 S INDIAN RIVER DRIVE,FORT PIERCE,FL 34962 Address: 965018 INDIAN RIVER DRIVE 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 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 commencin w r recording our Notice of Commencement. Z";', Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/III ense 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 23 day of JuLY 20'11 by this 23 day of JuLY ,20 N 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 Pr ced Produced Notary Public State of Florida ,}sr Notary Public State of Florida Analisa Whiting Analisa WhitingjA7M Gornmission GG 339912 ignature of Nota P � `atg r6S /2023 (Signature of tart'P Ii a ol'Ffr7c� � Commission No. Sea Commission o. (Sea[) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17