HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: `V�
e k
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROUEMENTL0CAT ION '' v
Address: 9600 S OCEAN DR 1105
Legal Description. EMPRESS CONDOMINIUM UNIT
Property Tax ID#: 467042 - coc)_& GQC L 0003 Lot No.
Site Plan Name: Michael L Serino Block No.
Project Name: Michael L Serino
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF 1l1/ORK
ti gr r`o ri
AC CHANGE OUT 2.5TON 15.5SEERS
CnONSTRUCTION INFORMATION _ aar
Additional work to be nertormed under t ispermit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing DSprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 3643.00 Utilities:Sewer Septic . Building Height:
OWNER/LESSEE a 4 CONTRAC_ ORr ; y F
Name Michael L Senno Name: RICHARD LEVINSON
Address:9600 S OCEAN DR 1105 Company: SERVICE AMERICA
City: JENSEN BEACH State:FL. Address: 2755 NW 63RD COURT
Zip Code: 34957 Fax: City: FORT LAUDERDALE State:FL
Phone No.845-240-2128 Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100 EXT 5673
Fill in fee simple Title Holder on next page(if different E-Mail: EPERMITSGROUPCSERVICEAMERICA.COM
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
r ;
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIONS r r I
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 thepermit 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
commencine work or recording our Notice of Commencement.
s
t-SigTiia [ar.�of�Owner/=Lessee/Agent. - Signature of ContractocJL'icen:se Hofer
g
STATE OF FLORIDA STATE OF FLORIDA
COUNTY O F SAINT LUCIE COUNTY O F SAINT LUCIE
Th�I'�o oing instrument was acknowledg Pefore me The forgoing instrument was acknowledged b e me
this day of 2Q� by this Z1 day of 5 ,20i6 by
RICHARD LEVINSON RICHARD LEVINSON
(Name of person ack w ) (Name of person ackn le ,7g)
(Vofd
otary P 'a�'c�S�tate of Florida) (Sig ature oo �lotaTPoduced tate of Florida)
Pwn OR Produced Identification Per onally�Known R Produced Identification
Tcation duced Ty a of dentificat
Commissi JESSICA DOTSON CommissioK"(Seal
jEGSIG DOTSON
;* #FF 072984 ,AY COMMISSION#FF 072984
__,•. ;;r; EXPIRES:Nclo,amber25,2017 XPI ES:November 2S2017
rlunded Thru Notary Public Undervuiter
Revise 07/15/20.14
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS