HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I � �`]� J�5 Permit Number:
sµv '� RECEIVED
Building Permit Application NOV 2 5 2015
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 J Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED,IMPR IVEMENT':LOCATION:
Address: 4949 N Al Apt 224
Legal Description: BREAKERS LANDING UNIT 224(OR 1369-554)
Property Tax ID#: 1414-602-0091-000-6 Lot No.
Site Plan Name: Wheeler Block No.
Project Name: Wheeler
Setbacks Front Back: Right Side: Left Side:
.r
DETAILED DESCRIPTION�OF'WOR
K
AC CHANGE OUT 3TON %-- ISL I 0
CO¢NSTRUCTIO`Nx�INFORMATION.
Additional work toa er orme under this permit—c ec a appy:
❑✓ HVAC 11 Gas Tank Gas Piping _Shutters E]Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3000 Utilities:Sewer D Septic Building Height:
OWNER/LESSEE ;; C°ONTRACTOR; .
Name William&Judy Wheeler Name: RICHARD LEVINSON
Address:4949 N AIA Apt 224 Company: Service America
City: Fort Pierce State:FL Address: 2755 NW 63rd CT
Zip Code: 34949 Fax: City: Ft. Lauderdale State:FL
Phone No.772-467-9136 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.
I
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 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 t dergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,scre rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice o m encement may result in your paying twice for
improvements to your property. A Notice of Comme ce ust be recorded and posted on the jobsite
re the first inspection. If you intend to obtain fina ci g, sult with lender or an attorney before
o e n� rk or recordingour Notice of Comme c en
s
_Si r ur rOwri'er/r lessee%Ag,; t_ 5a"tua of act License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ��z'_�rl{ ia�_ COUNTY OF
The fogoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this��day of I 20 !2Sby this lday of LIL 20L61—by
(Name of person kn wl ging) (Name of person acknow dgin
(Signatur f otar ate of Florida) (Signature o oPIOR
State of Florida)
Perso ally own OR Produced Identification Personally K�n� Produced Identification
Type f Id n ' ' Type of Id noduced
; JESSICA DOTS
ON
Commissi•r„ 1 MYCOMMISSION8FF072 1) Commi i JESSICADOTSON ( al)
.ax ( ;Noaember 25, i j = � _ FF 072984
..o;• d 7hru Notary Public underwriters '*: *E
.�',o� sonde ' EXPIRES:November 25,2017
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS