HomeMy WebLinkAboutBuilding Permit Application 05/22/2015 15:39 9549773591 PERMITS PAGE 02/03
ALL APPLICABLE INFO MUST BE COiV1PLETED FOR APPLiCATION TO St ACCEPTED• i '
Date: Permlt'Number:
Building Permit Application
t
Planning and AevelopmentServices
Building and Cade Regulation Division i
2300 irginia Avenue,Port pierce 1134982
Phone:(772)452-1.553 Fax:(772)462-1578 Commerciai Residential
PERMIT APPLICATION FOR: Mechanical
Address: 8750 S OCEAN OR 1432
Legal Oescription: ISLAND DUNES CONDOMINIUM A UNiT 1432 AIK/A ADMIRAL CONDOMINIUM(OR 3043-1402)
,
Property Tax iD#: 3535.601.0068-000-1 Lot No,-
Site Plan Name: i Wock No.
Project Name:
Setbacks front Back: Right Side:�. Left Side: ;
lj
AIC CHANGE OUT 3T6N �
y +.
litiona wor o e rme un ert ispermit•-c ec a appy:
111-1 Gas Tank Gas Piping _Shutters Mndvws/Doors
13 ElectricPlumbing nSprinkiei Generator* Roof
Total Sq,Ft of Construction: So*
Ft,of First((Floor:
Cost of construction:$ 3879 Utilities: sewer USeptic- Buildiinj Height:
a
Name 02=011 Federal LLC Name: RICHARD LEVIN5ON
Address:8750 5 OCEAN Did 1432 Company: SERVICE AMERICA
%City: JENSEN BEACH . State,�L Address: 2755 NW 63rd CT
Zip Cade:,3,4857; Fax: City: FL Lauderdale,•••.., Statr FL
Phone Na. Zip Code 33609 Fax: Vii-877- 599
1E�Mai1: Phone No, 854-979-1100
Fill in fee simple Title}colder on next page(if different E-Mail: EPERMITSGROUPOSERVii EMAERiCA.COM
from the Owner listed above) State or County License: CAC01481I9
If value•of CPnstrtti+tlo8 Is 52500 or more,:a RFCQRVED Notice of Commencement is required; J .,
I
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y ��
05/22/2015 15:39 9549773591 PERMITS
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DESIGNER ENC,INEI:R:. ' _NvtApplicable MpRTdACE COMPANY; ' ;T NotApplicable
Name!
Name
Address' Address:
City: state: City._ -- _ ' state;-
Zip: Phone: Zip: .Phone:
•FEE.SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY., : . . y Not Applicable .
Name: Name:.
Address: Address:
City: City: 'Phone:
Zip; Phone: Zip:
I ceetify that no work or installation has commenced prior to the issuance of a permit. ;
St.Lucie County makes no represen,cation that is granting a permit will authorize the'petWt'holde to bi rld the subject structure
which!s in conflict with an applicable Nome owners Association rules,bylaws grand covenants that may restrict or prohibit such
structure.Please consult wyith 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 Code;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-TIO OWNER;Your failure to*Record i Notice of Commencement may,result in youepaying twice for
im 'rc$vi!nentS'fo yourrproperty.A Notice of Ctrmmence'niarit must be.recor-ded and odgs d,on tho•.jo'btite
befppore`the first ilispectlonAf you Intend to'obtain financing;consu t with lander or'bn attbtney before
commencin work or recordingour Notice of Commencement.
Signa ure.6f Owner/Lessee/Agent Signature of Contractor License Norder;
STATE.OF'FLORIDA STATE OF FLORIDA• '
COUNTY OF COUNTY OF
The forgoing rostrum .rt was acknowiedged bdare me The forg6ing instrument was acknowledged before Hie '
this day of ZO t by this PO'day of W I -201( by
(Name of person acknowledging}. (!Name of person acknowledging) i
signature otary Public.SL of.Florida J (signaturrr f otary PubiJc-.Sta f Fidrida J'
Personal Hawn Cifi Produced identification .Personally Known --OR Produced identification
Type of.ldpntification Produced Type of Identification Produced
Commission No. '"' (Se,BF IIrAWHYVM omrnission No.
;* MYCOMMISSION O FJ:OgMl: .MY ONMIS11ION 0PF OWk
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EXPrRCY
d u ea oro Nolov pubk undowNra = BanAao 7Arir Notary Auric undea!Mtn
Revised 07/13/2014
.•REVIEWS• FRONT ZONING SUPERVISOR PLANS VEGETATiO'N SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEiN REVIEW REVIEW REVIEW '
DATE•,
COMPLETE t
INITIALS