HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: f �
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 IMPROVEMENT LOCATION:
Address: 7370 S OCEAN DR 514
Legal Description: DUNE WALK BY THE OCEAN
Property Tax ID#: 3522-607-0082-000-3 Lot No.
Site Plan Name: Olga B Torres Block No.
Project Name: Olga B Torres
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
AC CHANGE OUT 2TONS 14SEERS 5KW
CONSTRUCTION INFORMATION:
Additional work toe e orme under tis permit—checka appy:
HVAC Ei Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 2591.00 UtilitiesSewer ESeptic Building Height:
OWN ERAESSE=E: -CONTRACTOR:
Name Olga B Torres Name: RICHARD LEVINSON
Address:7370 S OCEAN DR 514 Company: SERVICE AMERICA
City: JENSEN BEACH State:FL Address: 2755 NW 63RD COURT
Zip Code: 34957 Fax: City: FORT LAUDERDALE State:FL
Phone No.561-985-1655 Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100 EXT
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 6 another non-residential use
WARNING.TO OWNER:Your failure to Record a Notice of Co ,�encen m�,result in your paying twice for
ovements to your property. A Notice of Commencemhnt� ust be re orded and posted on the jobsite
b 0 e the first inspection. If you intend to obtain financin , c F nsuIt wi ' lender or an attorney before
C encin work or recordingour Notice of CommenceFe t.
s
gafure.,of-Owner./_.Lessee%Agent Sig❑ �ure_of Contractor/L'itense-Holder
STATE OF FLORIDA STATE OF FLORIDA
CO U NTY O F SAINT LUCIE CO U NTY O F SAINT LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 _by this s day of 6 20 by
RICHARD LEVINSON RICHARD LEVINSON
(Name of person c owl dgi ) (Name of perso know[ dging)
(Signature f Notar b -State of Florida) (Signa re of t Public-State of Florida)
P rsonal Known X OR Produced Identification sonally Known OR Produced Identification
Ty e o dentification roduced Type of Identification Produced
1117111" JESSICA DOTSON
Commission No. "'= MYCOMMISSI�¢072984 Commission
•, .. EXPIRES:November 25,2017 �;:'Py JESSICA pOTSO
'�y •••••oe• Bonded Thru Nota Public UndeNmters =+°' °= MY COMMISSION#FF 072984
"•",�of�t�p` Bonded Thru Notary Publ'�c Underwriters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS