HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: �a` ` \r 1 �1 Permit Number: \0-0 1
RECEIVED OCT 19 2017
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 Qytid�
PROPOSED IIVIPRO.VEMENT LO°CATI'O;N
Address: 10044 S OCEAN DR 603
Legal Description: SEA WINDS CONDOMINIUM APT 603
Property Tax ID#: 4502-804-0043-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION ,O,F WORK
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Exon AC ChaTe oft D fiDnS 14-SeP_-,r 6 Ck)
CONSTRUCTION INFORMATION
Additional work toe e orme under this permit—check a appy:
HVAC E] Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 11 Generator F] Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4155 Utilities:0Sewer OSeptic Building Height:
VOWNER/LESSEE: CONTRACTOR: =`
Name Lucille Felice Paul Felice Name: RICHARD LEVINSON
Address:10044 S OCEAN DR 603 Company: SERVICE AMERICA
City: Jensen Beach State:FL Address: 2755 NW 63RD CT
Zip Code: 34957 Fax: City: FT LAUDERDALE State:FL
Phone No. 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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SUPPLEMENTAL CONSTROOCTION LIEN LAW IN'FORMATION.,
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 thepermit 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
comnlen,cing work or recording-your Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature ofContractor/License Holder
STATE OF FL RID / STATE OF FLORtD
COUNTY OF (�� +� COUNTY OF c V��Q''
The fqWoing instr me ts cknowledged before me The o r�oing instr e acknowledged before me
this�day of Gv 20� by this S day of 20 by
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(Na a of perso k o ) e (NamIII e of per acknowled ' g)
® o NotaryPublic-StateofFlorida
commission#GG 33870 <Pa�P�e� Sheneka Hardy
Expires 9/27/2020 a Notary Public-State ofFlorida
(Si ure of No a e o Florida) ( nature o o ary 6 f F or� 10" °
Fo:Fro xpi es 9!27/2020
Personally Known OR Produced Identification Personally Known OR Produce en i ica ion
Type of Identification 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
INITIALS