HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
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 IMPROVEIVIENT.LOCAI-ION
Address: 9600 S OCEAN DR 406 I
Legal Description:. EMPRESS CONDOMINIUM UNIT 406(OR 3295-2065)
Property Tax ID#: 4502-620-0024-000-1 Lot No.
jSite Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION"OF WORK:`:,'
AC OCJ4 c9-6 �Dn 16 Gfev' r-1 5; 1CV)
CONSTRUCTION INFORMATION .-
itiona workkto be nertormed under tisermit—c check p L all apply: I
❑✓ HVAC Gas Tank Gas Piping _Shutters ❑W'indows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First 5052 Floor'
of Construction:$ Utilities: _Sewer�Septic 1, Building Height:
OWNER/LESSEE - 'CONTRACTOR
Name Robert E Vanover Robyn Vanover Name: RICHARD LEVINSON
Address: 9600 S OCEAN DR 406 Company: SERVICE AMERICA
City: Jensen BeachState: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.
ti
I �r t
SUPPLEMENTAL CONSTRUCTIONII,EN LAW INFORMATION= -I
(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. LucieCounty 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.
j 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.
s
Signature of Ow a/Contractor as Agent for Owner Signa ure o ra License Holder
STATE OF FLORI A STATE OF FLORIDA
COUNTY OF w`� COUNTY OF /�� ?✓�
The fQ going ins ent a o ledged efore me The fqr oing instr it was acknowledged before me
this fit day of a � 20 Mby this (r day of, ��G/ 20 by
RICHARD EVINSON p , RICH D LEVI SO
(Name f person cd g (Na a of pe ackho &Ie ,,�NotaryPublic-StateofFloridaSheneka Hardy
Commission#GG33870 NotaryPublic-StateofFlorida
oFtExpires9127/2020 c Commission#GG 33870
,
(Si ture Not Pub' -Sta a of Florida) ( i ature of tary u I
Person ly Known OR Produced Identification Personally Kno ' OR Produced Identification
Type of Identification Produced Type of Identifica ion,Produced
Commission No. (Seal) Commission No. (Seal)
I
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS