HomeMy WebLinkAboutBuilding Permit Application 331 q&
,,ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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 IIVIPROVEMENT,LOCATIQNq.
Address: 2435 LAKERIDGE DR
Legal Description: LAKERIDGE S/D LOT 3 (OR 928-882)
Property Tax ID#: 4425-702-0005-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESERIPTION,OF'1NORK W s '`
Af Gk-lneg e OC,tf 01-00 s 19 Sem' lD 1CtO
CONSTRUCTION INFORMATION
Additional work to be nertormed✓ under tis permit—checl all appy:
✓❑HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 4279 Utilities:Sewer Septic Building Height:
OV1%NER/LESSE'E: 'CONTRACTOR ' l'
Name Clarence Abrahams Gloria V Abrahams Name: RICHARD LEVINSON
Address:2435 NW Lakeridge Dr Company: SERVICE AMERICA
City: PALM CITY State:FL Address: 2755 NW 63RD CT
Zip Code: 34990 Fax: City: FT LAUDERDALE State:FL
Phone No.772-871-9257 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.
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SUP PLEMENTALCONSTRUCTION,LIEN LAW INFOWATIQN 4C it T
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 n,on-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
Improve men our property. A Notice of Commenceme st be recorded and posted on the jobsite
before the f' tins ti n. If you intend to obtain financi , cc,ons It ith lender or an attorney before
commenci or or ecordin our Notice of Commenc eh,
Signature of Owner ee tractor as Agent for Owner Signature o r/License Holder
STATE OF F R A STATE OF FLO�pc���y�r7ryA�� /
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COUNTY F ay'�� COUNTY OF Q �VOc, ✓cl'
The for n instr ent was ac Howled ed before me The forgoing instru ent was ac nowledged before me
g g
this , day of U6 20 !:?--by this 17-yday of gN 20 J"1 by
ell
2V ban i K ev i n gor)
(Nam of person knowledging) ( me of perso acknowledgi g)
(Sign re of ota Public-Sta of Florida) ( ' Hat of of Pub ic-State of Florida)
Personally Known oduced II enti{{ica�ion Persona y nown eR' ced Id %g"1pp�
a Sgenti Hard
Type of Identification u� �� Type of Identification Pro : ..rte,,,;
taiyfta Co bl o-#GG 33870 N� ec Commi Sion#GG 33870
Commission No. 9 OFF
1p reg 9/27/2020 Commission No. 9 FF�oQ` (� �g 9/27/2020
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS