HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: O� r
RECEIVED
Building Permit Application JUL 3 0 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED I,NIPROVEMENT1OCAT-ON
Address: 10200 S OCEAN DR 302
Legal Description: ATLANTIS III BY THE SEA UNIT 302AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID#: 4511-518-0020-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION QFWORK.
ONXAC-" Nic- Cf OP P '5_[PAI�- 145�5� _'5KV41
CONSTRUCTION INFORMATION
b , . _ _. t. _ ,..<. ,
Additionalwork to be r)ertormed under t ispermit—check all ma, appy:
❑✓—HVAC Gas Tank ❑Gas Piping _Shutters O Windows/Doors
11 Electric 0 Plumbing Sprinklers Il Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 4061 Utilities:DSewer OSeptic Building Height:
0„1NN,ER/LESSEE . _CONTRACTOR
Name Giuseppe Bozzo Name: RICHARD LEVINSON
Address:1111 IBIS CT Company: SERVICE AMERICA
City: MISSISSAUGA State:ON Address: 2755 NW 63RD CT
Zip Code: L4W 31<7 Fax: City: FT LAUDERDALE State.FL
Phone No.772-229-3563 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.
Si,IJP_PLEIVIENTAL CQNSTRUCTION LIEN LAIN INFQRMATION, µ E
r
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: TNot 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.
s
Signature of Ownera/Contractor as Agent for Owner Signature of Con Ror/License Holder
STATE OF FLORLDA STATE OF FLORIDA
COUNTY OF_ d COUNTY OF
The f oing instrum nt• as acknowledged before me The forgoing instrum nt`�;as acknowledged before me
this ay of 20 1A.by this ay of_J UI� 20 l 3 by
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%Richlord - -L--ev\
(Name of person ac 0, Ing)6'�a i 1 I��Cj b7kTTLE S (N ma a of person acknowledging)
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January 21,7020
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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_.