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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �Ia3��� Permit Number:
RECEIVED
OCT 2 3 7.0119
Building Permit Application
ST. Lucie County, Permitting
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
PROPOSED IMPROVEMENT LOCATION:
Address: 3820 NIMBLEWILL CT
Legal Description: THE PRESERVE AT SAVANNA CLUB-
Property Tax ID#: 3425-706-0115-000-0 Lot No.6
Site Plan Name: Block No. 47
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED D'ESCRIPTIOUOF WORK:
KW 7
TON 2.5
SEER 14
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing OSprinklers O Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ ��� .d d Utilities: Sewer OSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name MELVIN GUST Name: MARKAVINES
Address: 3820 NIMBLEWILL CT Company: AZTIL
City: PORT ST LUCIE State:FL Address: 2540 S MILITARY TRAIL
Zip Code: 34952 Fax: City: WEST PALM BEACH State:FL
Phone No.561-540-3878 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@4ZTILAC.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.
SiUrP�PLEME;NTAL,CONSTR'UiCTIOIN LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: MELVIN GUST Name:MARKAVINES
Address: 3820 NIMBLEWILL CT Address: 3820 NIMBLEWILL CT
City: PORT ST LUCIE 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
commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/ ntractor as AgeN nV 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 vias acknowledged before me
this��day of (364— 2014 by thisQQ_day of 20by
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 Iden ' ication Type of Identification
Produce Produced
ignature of Nota (Signa re of Notary P - f I r'
ata ublic State of Florida Not
Pu 'c S to of Florida
Commission No. IisaV604 C mission No. Anails aa
y Commission GG 339912 My Commission GG 339912
Expires 05/29/2023Expires 05/20/2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17