HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED // ,^, ^
Date: Permit Number: I�YVC>t7
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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: 8024 Kiawah TRCE
Legal Description: POD 25 AT THE RESERVE LOT 16 (OR 3670-969)
Property Tax ID#: 3327-705-0017-000-9 Lot No. 16
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
AC CHANGE OUT 2TON KSI Jit= LTJ15
CONSTRUCTION INFORMATION:,
Additional work to be rtormed under this permit—check all 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:$ 3523 Utilities:E Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Constance&Marcus Johnson Name: RICHARD LEVINSON
Address:8024 Kiawah TRCE Company: Service America
City: Port St Lucie State:FL Address: 2755 NW 63 CT
Zip Code: 34986 Fax: City: Ft. Lauderdale State:FL
Phone No.772-467-0986 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.
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'a'n�d St. Lucie County Amendments.
The following building permit applications are exempt from undergoirl a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen room and ccessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice Q
m c ent may result in your paying twice for
rov nts to your property. A Notice of Comment us be recorded and posted on the jobsite
be re he rst inspection. If you intend to obtain flco ul with lender or an attorney before
o cin work or recordin our Notice of Comme
Si ature of Owner/Lessee/Agent Sig ture of ContractoX/License Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF :S _ A , COUNTY OF _ • PA-
The f going instrument 7s acknowledgeg before me The forgoing instrumen was acknowledg d before me
this day of 20by this day of 20 by
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Revised 07/15/2014
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