HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _] /
Date: 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
PROPOSED IMPROVEMENT LOCATION'
Address: 494 THAMES BLUFF RIDGE H
Legal Description: TROPICAL ISLES (OR 2786-2163) UNIT H-50
Property Tax ID#: 3410-508-0230-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WWORK:
r
AC CHANGE OUT
CONSTRUCTI.O.N, INFORMATION: n
Additional work to a e orme under this permit—check al appy. '
HVAC _Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers 1:1 Generator El Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 3145 Utilities: Sewer 0 Septic Building Height:
OWN°ER/LESSEE: 3 CONTRACTOR:. .
Name Tropical Isles Co-op Inc Name: RICHARD LEVINSON
Address:281 Tropical Isles Cir Company: Service America
City: Fort Pierce, State:F L Address: 2755 NW 63rd CT
Zip Code: 34982 Fax: City: Ft. Lauderdale State:FL
Phone No.772-467-0889 Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100 X5673
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.
SUPPLEMENTALCONSTRUCTION LIE4,tAW 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 to another non-residential use
ARNING TO OWNER:Your failure to Record a Notice ommencement may result in your paying twice for
m ove nts to your property. A Notice of Commenc %n ,
must be recorded and posted on the jobsite
efo e e 'rst inspection. If you intend to obtain finan nsult with lender or an attorney before
c cin work or recordin our Notice of Commenn
s
0.— `—= '-� — g tum C0�n ,s� d_,l/License Holder
na o nerrLessee/Agent
STATE OF FLORI STATE OF FLORIDA "
COUNTY OF � � .(, COUNTY OF a
The f 'ng instrument was acknowledged before me The r I instrument w s acknowledged before me
this day of /.' / 20 Y thisL21 y of 20 ".
Y '
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(YaNdZf person ac wl dgi g) (N a ers kn edgi g
nature of No y ublic-State of Florida) (Signatu o N ry Public-State of Florida)
Personally I l�3dcl�I fic ion Perso ally Kno n OR Produced Identification
#FF07�L� T of Identification Produced
Type of Iden is 3q �,roc l SIGN 5, YP
`_*4 '•t. EXPIRES•.Novem
Nolary Public Under�+rders
Co fission y. ndedlhru Commission N �SSICADOT $pa
BPn' s3i
MY COMMISSION#FF 072984
=*` EXPIRES:November 25,2017
7hru Notary Public ndenvr ers
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS