HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE IN,O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u u
Date: �5 4 Permit Number:1��3
Building Permit Application RECEIVED
Planning and Development Services MAR 15 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 County, Permittltl
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resid
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 N A1A 705
Legal Description: SEA PALMS UNIT 705 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 3326-681)
Property Tax ID#.. 1425-600-0061-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
L,kaC1 A C CP0 e CU1, z f On Jq �e�- 5 w h
CONSTRUCTION INFORMATION:
Additional work tobene orme under this permit—check a appy:
7HVAC LJ Gas Tank ❑Gas Piping _Shutters F]Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 3841 Utilities:cn Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Blue Beach Investment LLC Name: RICHARD LEVINSON
Address:3200 N Highway A1A Apt 705 Company: SERVICE AMERICA
City: Fort Pierce State:FL Address: 2755 NW 63RD CT
Zip Code: 34949 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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 Commenceme t.
J Js
Signature of Owner/Le ontractor as Agent for Owner Signature of Contract /License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 6-Z�'1 C1t1J COUNTY OF ,jj_ 'y I
The forgoing instru ent was acknowledged before me The forgoing instrum nt was acknowledged before me
this_�q day of 4 20 ]�_by this '3 day of 20 by
CJI ial V'iIA's C�i 1 WI i _Leyil'1SZrl
(Name of person acknowledging) (Name of person acknowledging)
In
(Signature of Notary Public-State of Florida ) (Signature of Not Public State of Florida)
Personally Known Oft., >jucqMgWWi00iNETTLES Personally Known�_OR Produced Identification
Type of Identification ro ! e ': uisctoN»FF952984 Type of Identification Produce
E 2,.2020 _IPA rT ,f0
Commission No. t. �P�RESJ jrY u� ommission No. l�.r NETTLE
t4 .4Si t 9F"SSIONI It
`F9
elpya
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS