HomeMy WebLinkAboutBuilding Permit Application { 35 2,
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S Permit Number:
Rfk:'�Y
Building Permit Application DEC 2 3 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 Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT,LOCATIO,N:. -
Address: 8020 Carnoustie PL 3921
Legal Description. CASTLE PINES CONDOMINIUM (OR 1810-471) PHASE III UNIT 3921 (OR 3318-1759, 1763)
Property Tax ID#: 3327-502-0173-000-7 Lot No.
Site Plan Name: Castle Pines 8020 LLC Block No.
Project Name: Castle Pines 8020 LLC
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
AC CHANGE OUT 2.5TONS 14SEERS K�U
CONSTRUCTION INFORMATION:
Additional work toe e orme under tispermit—c ec a appy:
WIHVAC Ei Gas Tank Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 2840.00 Utilities: Sewer F]Septic Building Height:
OWNER/LESSEE: CONTRACTOR: .
Name Castle Pines 8020 LLC Name: RICHARD LEVINSON
Address:8020 Carnoustie PL 3921 Company: SERVICE AMERICA
City: PORT SAINT LUCIE State:_ Address: 2755 NW 63RD COURT
Zip Code: 34986 Fax: City: FORT LAUDERDALE State.FL
Phone No.954-274-3960 Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-100
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.
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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 to another non-residential use
WARN G TO OWNER:Your failure to Record a Notice of C \encement may result in your paying twice for
i pro a ents to your property. A Notice of Commence enu a recorded and posted on the jobsite
b for t e first inspection. If you intend to obtain financi g, s It ith lender or an attorney before
c in work or recording our Notice of Commenc
1 atu�e of Owner/Lessee ent• ? =Signa e-of Contra /License Hold'erl
STA OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINTLUCIE COUNTY OF SAINTLUCIE
The foWing instrumentw s�knowled ef�t1 b fore me The forgoing instrument was acknowledg ore me
thisday of � 201by this 21 day of 12 2by
RICHARD LEVINSON RICHARD LEVINSON
(Name of person ac ow a ng (Name of person ackn gI )
(Si otar Ic-State of Florida) (Sign 'u re of otary - tate of Florida)
ersonal Known OR Produced Identification Pe s0naily nown OR Produced Identification
ype o Identificatio I$ oduced Ty e of F entification Produced
Commission No. ,, dE � pOTSON Commissiotz �..���zSea
MY COM ISS i B FF D72984 II�� ^tY,y�c DOSUT N
MY COMMISSION*EF G7728I h
EXPIRES:November 25,2617 :.: F
P•., ° +a, delvlrlters 't0 ��n ovember 25,2D1?
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'•FFr.�ti ""'"'"'"`�'DO°"' `•:e o?�^ Bonded ThruNotary Fub"cUnd11e��v
Revised 07/15/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS