HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application MAR 0 7 2017
Planning and Development Services PER.10ITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Mechanical
Mw 77,11, `":a"
Address: 8600 S Ocean DR 1204 a�
Legal Description: REGENCY ISLAND DUNES TWO UNIT LPH-4 (OR 1531-1247: 3180-1296)
Property Tax ID#: 3534-502-0064-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Of
t
� n
Exact Ac change out 3.5 ton 14 seer-10kwh
.______onaI wor to e performed un er this permit—check a appy:
Z✓ HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 4933 Utilities: Sewer Septic Building Height:
$ 4 CO N T ix >> j �� 4 5._rx., Vis,
r �_
,- �- _= ' a.."a_ - ;
Name Huebner James&Ruth Name: Richard Levinson
Address:8600 S. Ocean Dr#1204 Company: Service America
City: Jensen Beach State: FI Address: 2755 NW 63rd Ct
Zip Code: 34957 Fax: City: Ft. Lauderdale State:FI
Phone No.772-229-0259 Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100
Fill in fee simple Title Holder on next page(if different E-Mail: epermitsgroup@serviceamerica. com
from the Owner listed above) State or County License: CAC014619
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
A
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,irl,all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County mendments.
The following building permit applications are exempt from undergoing a full concurrenc review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen roo d accessory u s to another non-residential use
ARNI TO OWNER:Your failure to Record a Notice of Co m ce a ma result in your paying twice for
iprov is to your property. A Notice of Commencem nt us be eco ded and posted on the jobsite
be ore he rst inspection. If you intend to obtain financin co s It wi I nder or an attorney before
o ncin work or recordingour Notice of Commence en .
s
SigAalbbfe-efOwner/'rtsw,aZ&ontractor as Agent for Owner Signa re of Contractor/License Holder
STATE OF FLORID STATE OF FLORIDA �f
COUNTY OF � yyI,CJQY COUNTY OF t'4uJQ�R'
The fclrying inst�(acknowledged before me The forgoing instr a was knawledged before me
this r day of 20 by this j�1_jT1 day ofr 20 1� by
M IA*
(Name per ackno ledging) (Na a of p n ackno ledging)
o�*a yP6a�
Sheneka Hardy o-1 j'��, Sheneka Hardy
o Notary Public-State of Flo ida 2 ° Notary Public-State of Florid
(Sig ure Notary P lic- da =)n!!fF
33 c- da 1 o
Expires 9127/2020 Expires 912712020
ersonailyOR Pro uce enti icatianown��OR ProduceIdentification
entification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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