HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: —1 e 5 Permit Number:
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
RRQPOSED IMPROVEMENT LOCATION Y
� N
Address: 10200 S OCEAN DR 504
Legal Description: ATLANTIS III BY THE SEA
Property Tax ID#: 4511-518-0042-000-7 Lot No.
Site Plan Name: Romeo Callegaro Block No.
Project Name: Romeo Callegaro
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
AC CHANGE OUT OF COND ONLY 2.5TONS ��
CONSTRUCTION JNFORMATION _
Additional work
. to be performedd under tispermit—check atha appy:
HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 2415.00 UtilitiesInSewer 11 Septic Building Height:
01NN ER/LESSEE CONTRACTOR:.
6
Name Romeo Callegaro Name: RICHARD LEVINSON
Address: 10200 S OCEAN DR 504 Company: SERVICE AMERICA
City: JENSEN BEACH State:FL Address: 2755 NW 63RD COURT
Zip Code: 34997 Fax: City: FORT LAUDERDALE State.FL
Phone No.416-877-3071 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: 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 fuJSbEe
i(rency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms anory uses to another non-residential use
WA ING TO OWNER: Your failure to Record a Notice C m nt may result in your paying twice for
mp o ements to your property. A Notice of Commen em t m recorded and posted on the jobsite
gfo e e first inspection. If you intend to obtain fina cin coith lender or an attorney before
c3 en•in work or recordin our Notice of Comme e ent
\Ik� V, s
S n tore of Owner/Les'see/Agent�� ., V Si ;afore ontractor/License Holder _
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 _by this ' day of 7 20 by
RICHARD LEVINSON RICHARD LEVINSON
(Name of person ackno ledgin ) / (Name of person ac no edgin )
(Signatur • ublic to a of Florida) (Sign' ry Pu/` ' ate of Florida )
Personally K own O roduced Identification �Pers o ally Known % OR Produced Identification
TyVfltification Produce Ty of Identification X`oduced
�i `� mak: 4 Iii
Co No. Commission No. —�$
— _ SON JESSIC I N
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w- JESSICA DOTS _,. �. MY COMMISSION k FF 0729M u�
N11FF0.12984 ?•: EXPIRFS-Nova heir Pq _
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UnderNf ters
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS