HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE``INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ` \31 a 8 Permit Number:
U- il
Building Permit Applicatio
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 esidential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S OCEAN DRIVE UNIT 730,JENSEN BEACH, 34957
Legal Description: VENTURE OUT-SECTION C-LOT 131 (OR 3393-2627, 2629; 3403-1942: 3506-2559)
Property Tax ID#: 4511-805-0131-000-9 Lot No. 131
Site Plan Name: Block No.
Project Name: IMMEL
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
KW 10
TON 2.5 L
SEER 14
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check a appy:
❑HVAC Gas Tank Gas Piping _Shutters a Windows/Doors
Electric F� Plumbing OSprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 4300.00 Utilities:n Sewer OSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MARTINS IMMEL III Name: MARK A VINES
Address: 10701 S OCEAN DRIVE UNIT 730 Company: AZTIL
City: JENSEN BEACH State: FL. Address: 2540 S MILITARY TRAIL
Zip Code: 34957 . Fax: City: WEST PALM BEACH State:FL
Phori'e No.772-229-1221 Zip Code: 33415 Fax:
E-Mail:MARTYFL730@GMAIL.COM 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',U,IPiPL�EIMI,E-,NTA�"L,CO:N'STRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: MARTINSIMMELIII Name:MARKAVINES
Address: 10701 S OCEAN DRIVE UNIT 730,JENSEN BEACH,34957 Address: 10701 S OCEAN DRIVE UNIT 730
City: JENSEN BEACH 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 rk or recording your
Notice of Commencement.
Z/01_1
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 13 day of JANUARY 26&�D by this 13 day of JANUARY 20 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..---_.
(Signature of Notary ubr-�&xateg#aWgW91tate of Florida (Signature of Notary b i ate�f to
o ry�u�i State of Florida
o Analisa whiting Anaiisa Whitin
Commission No. 0 My Comrr4I=G 339912 Commission No. �" Q My Comm(s� G 339912
oa w —Expires 060/2UU23 ecv Expires 05/29/203
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
I COUNTER REVIEW REVIEW REVIEW REVIEW 'REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17