HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �LL
Date:
4/10/2015 Permit Number: `mil
Building Permit Application SCANNED,
Planning and Development Services BY
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
I PROPOSED IMPROVEMENT LOCATION: III
Address: 9650 South Ocean Drive, Jensen Beach 34957
Legal Description: The Princess of Hutchinson Island Common area
Property Tax ID.#: 4502-610-0000-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Princess Condominium Exercise Rooms
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: III
Exact replacement of (1) 3.5 Ton. Package Unit in the North Exercise Room & Exact replacement of
(1) 3.5 Ton Package Unit in the South Exercise Room
tom- 2- /3.20 1Gw t/ 30
CONSTRUCTION INFORMATION:
1 Iona I worK to e Performed under
ZHVAC Li Gas Tank
tIs permitcheck
❑Gas Piping
a apply:
_Shutters
❑ Wihdows/Doors
❑Electric -❑Plumbing
❑Sprinklers
❑Generator
❑Roof
total Sq. Ft of Construction:
13,390.00
S Ft. of First Floor:
❑
Cost of Construction: $
Utilities:Sewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name The Princess Condominium Association of Hutchinson Island, Inc.
Add ress:9650 South Ocean Drive
Name. Mark Kerney
Company:, Hill York Service Corp
City: Jensen Beach State: FL
Zip Code: 34957 Fax: 772-229-7799
Phone No. 772-229-9690
Address: 2125 South Andrews Ave
City: Fort Lauderdale State: FL
Zip Code: 33316 Fax: 561-640=4081
Phone No. 561-689-7355
E-Mail:
Fill in.fee simple Title Holder on next page ( if different '
from the Owner listed above)
E-Mail: cberry@hillyork.com
State or County Licen • CACO29 60
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
NEER:
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Not
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not
Name:
Address:
Zip: Phone: I 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 your Notice of Commencement. /
STATE OF COUNTYOFORIDS+� /U COUNTY OFSTATEOFFLORID{1�_1m - ^aCjii,
The for oing mstru nt was acknowledged before me
this y day of rl 20 /3 by
(Si &
re of Nota V,
- blic-State of Florjda ) /
Personally Known v OR Produced Identification
Type of Identification Prodpced
Commission No.
Revised 07/15/2014
The forg ing instrumentwas acknowledged before me
this day of Afyl 1 . 20 M by
mark kErnpw
(Name of person acknowledging )
t
(Signature of Notary Public- o lorida )
Personally Known OR Produced Identification
TyRp of Identification Produced
(S60� YNp 6He - tae0ol F11J
6U P mission No.
My GaUim. Expires -.Sep 20, 017
CORINNE BERRY
^= Commission a FF 17886
My Commission Expires
�
111lk November 24, 2018
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