HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /- ``�11
Date: 3' 3'14o Permit Number: ys' 00 0
Building Permit Application
RECEIVED
Planning and Development Services MAR ®3 2016
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 7430 S Ocean Drive, #B-517
Legal Description: Sand Dollar Villas Condominium
Property Tax ID#: 3522-603-0024-000-7 Lot No.
Site Plan Name: Deluise, Margaret Block No.
Project Name: Deluise, Margaret
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
A/C Changeout Exact Replacement
Seer: 1S 'Tbna-9e,;a
Kms, PA 14,24 AJ W R13 14P V�Jo�sN�
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—clecl a app y:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers Generator g Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 3750 Utilities: Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Margaret.Deluise 'Name:'Mark:Vines
Ad&ss':909 S Second:Street,.',, Company ,Aztil Inc
�y: Hamilton ,� MT ' 2540 S Milita ``'.t ail f
Cit '4 State: i Address ry': ,
Zip Code:-59840 __..._.__.:Fax: City: West Palm Beacli'_ _._._.... _-.-.-- State:FL
Phone No.610-217-8420 Zip Code: 33415 Fax: 561-434-0018
E-Mail:n/a 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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.
n- a ��k ��� a �y S
_Signature of Owner/Lessee/Agent 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 3 day of Febryar(1 2011by this 3 day of Febf UCL,ry 20 by
Mark Vines
(Name of person acknowledging)
(Name of person acknowledging)
L
(Signature of Notary Public-Stat f Florid (Signature of Notary Public-State OC
rids)
U (I
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Pr Type of Identification Produced
Lisa Rodriguez
�PaY Pis Lis Ro rr,guez
Commission No. e ° Nota g?g tic-State of Florida Commission No. o' �• jj�� I f lorida
Commission#FF 917447 NotaryPlrG�- tateo F
�rF oe Expires 10•Sep•19 , �o
Commission#FF 917447
Pxpkas 4-'-pp-19
FUF FLO
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS