HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / Permit Nu er:
Rffl�L ED
m -
i!
Building Permit Applicatic n APR 2 3 2m
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial esl en la
PERMIT APPLICATION FOR: Mechanical
OPOSED�IM mOVEM'E�NTLOCATION.
Address: 9400 S Ocean DR Apt 902
Legal Description. OCEAN TOWERS CONDOMINIUM B-UNIT902 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 3535-702-0065-000-0 Lot No.
Site Plan Name: Block No.'
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION COF`WORK.� `
le, C9_:_h91q Iq 5/
CONSTRUCTIOnN jNFO.WATION:
Additional wor to be nertormed urid—e—riff ispermit—check all appy:
HVAC Gas Tank. ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers .❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
S . of First Floor:
Cost of Construction:$ 3841 Utilities:cn Sewer 0 Septic Building Height:
01lVN ER/LESSEE: CONTRACTOR.
Name Vancamp Barbara&Peter Name: RICHARD LEVINSON
Address:9400 S Ocean DR Apt 902• Company: SERVICE AMERICA
City: Jensen Beach State:FL Address: 2755 NW 63RD CT
Zip Code: 34957 Fax: City: FT LAUDERDALE State:FL
Phone No.772-229-6354 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$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
— 0 _(4�
_ s
Signature of wner/Tssee/Contractor as Agent for Owner Signature of Con r r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The fpfgping instru wascknowledged before me The forgoing instr e t was a knowledged before me
t ' day of // 20by t ' day o 20 /$ by
rest (D/7 i J��&l s0r)
(Name f person kn (Name o erson ck
Rt°cE Sheneka Hardy as P� Sheneka Hardy
o�' 1 e�
NotaryPublic-StateofFlorida O NotaryPublic-State of Florida
Commission#GG 33870 N� c Commission#GG338
(S' at re of ota P bl ' s ` f Flori a ure of N aryxu~" ` e of FI&Nifg8 9/27/2020
Personal OR Produced Identification Personally Known " \ OR Produced Identification
Type of Identification Pr duced 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