HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 Permit Number:
o RECEIVED JAN 3 2Q�6
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: To Select from dropbox, click arrow at the end of line hU qC -CIO,
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`PROPOSED IW'ROVEMENT_LOCAl`fON . ._
Address: 8650 S OCEAN DR 701
Legal Description: REGENCY ISLAND DUNES BUILDING 1 UNIT 701 (OR 1005-1502)
Property Tax ID#: 3534-501-0031-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION.Of WORK
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AC CHANGE OUT 5TON " K W ID
CO❑NSTRUCTION INFORMATION
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ap
Additional
or to epermit
GasTankE]Gpng —Shutters
Q Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ Ck) 0( Utilities. Sewer❑Septic Building Height:
OWN ER%LESSEE CONTRACTOR:
Name Michael&Letitia McKenna Name: RICHARD LEVINSON
Address:8650 S Ocean Dr A-701 Company: Service America
City: Jensen Beach State:FL Address: 2755 NW 63rd CT
Zip Code: 34957 Fax: City: Ft. Lauderdale State:FL
Phone No.772-229-5296 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.
SUPPLE'MENTAL;CgNSTRUCTI.O`N LIEN LAW INFQRMATION"y, .. .. :
DESIGNER/ENGINEER: _ Not Applicablet
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 undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a.Notice of Commencement may result in your paying twice for
mprove ents to your property. A Notice of Com m t must be recorded and posted on the jobsite
Wore t first inspection. If you intend to obtain fin onsult with lender or an attorney before
en in work or recordingour Notice of Comm t.
S
Si na f } ` Holder Ag �
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The f r oing instrument vgas acknowled re me Theoing instrument was acknowledged before me
this day this day of 20 by
MY CAMMISSION#FF 0729M4
XPIRES:November 25,2017
WtaryPublicUndetvm�rs RICHARD LEVINSON
(Name of rs _ (Name of person ac n �JESSICkDOTsoN
qtr_ MY COMMISSION#FF 072984
a� a: EXPIRES:November 25,2017
Bonded Thru Notary Public undereai m
(Sign ure o Not 'r Public-State of Florida) (Signa r a'. ublic-State of Flori a
Pers nally now OR Produced Identification Per nally K own OR Produced Identification
Type of Id ntification Produced Ty e of Idd tifica , n Produced
Commission No. (Seal) Cori'ss'ion No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS