HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Ol7�vo
Date: Permit Number: �
Building Permit Application
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: 7380 S OCEAN DR 518
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 518 (OR 607-194: 2749-2028)
Property Tax ID#: 3522-607-0026-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DET AILED.DESCRIPTION OF WORK
A�
I.CONSTRUCTIO'N'.IN-FORMAT.ION:
Additional wor toe e orme . under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 4545 UtilitiesSewer ElSeptic Building Height:
OWNER%LESSEE `CONTRACTOR�� . `� :- --
-
Name Lighton, Richard Name: Richard Levinson
Address:7380 S Ocean Dr Apt 518A Company: Service America'
City: Jensen Beach State:Fl Address: 2755 NW 63rd Ct
Zip Code: 31957 Fax: City: Ft Lauderdale State:FL
Phone No. Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100 EXT 5673
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
I
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL;CONSTRUCTION IIE�NIAW INFO RI"ATION:`
_
DESIGNER/ENGINEER: T 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
I 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
improveme44tkto our property. A Notice of Commencement must b ecorded and posted on the jobsite
before t e firs in ection. If you intend to obtain financing, cons it ender or an attorney before
commer,cin k r recording our Notice of Commencement.
s
Signature o -wn r/ see ontractor as Agent for Owner Signatur Co or older
STATE OF ORoc� _( STATE O R
COUNTY OF �1 CO Y OF
The for oing instr t as acknowledged before me The forgoing ins Oras acknowledged before me
this day ofL 20 !:!by this day of V 1 20 17 by
�G j tn60r� c, ��/trl�7
(Name f perso ack w ging) (Na a of per n acknowled ng)
(Sig at a of ota Public- ate of Florida) nature o Not ry F`1
u lic-State of Florida)
Personally Known kis®d Idenr fi�ar' Personally Known
Type of Identification r `° e Type of Identifica i d snPnAk�
_ NotaryPublic-StateofFlorida ® Notary Public-Stat of Florida
Commission No. N cors kN)on#GG 33870 Commission No. n ommissio A33870
Expires 9/27/2020 s,Fc:rN1.0 Expires 9/27/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
=1NITIALS