HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numbier: IL003 001P0
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Building Permit Application
Planning and Development Services i
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 I
Phone: (772)462-1553 Fax: (772)462-1578 Commercial jResidential X
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PERMIT APPLICATION FOR: Mechanical
.PROPOSED;IMPROVEMENT-LOCATION.
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Address: 8650 S OCEAN DR 1204
Legal Description: REGENCY ISLAND DUNES BUILDING 1 UNIT 1204 (OR 1068-1310)
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Property Tax ID#: 3534-501-0064-000-3 Lot No.
Site Plan Name: Meneghel Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side
DETAILED DESCRIPTION;OF WORK:
a
AC CHANGE OUT 3.5TON
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CONSTRUCTION INFORMATION
Additional work to be nertormed under tis permit—c ec a appy:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric Plumbing ❑Sprinklers F]Generator El Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 3685 Utilities:DSewer OSeptic Building Height:
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OWNER/LESSEE. . CONTRACTOR"",, ' ,i,,,' '
Name Edda M Meneghel Name: RICHARD LEVINSON
Address:30301 Rock Creek Dr Company: Service America
City: Southfield State:MI Address: 2755 NW 63 CT
Zip Code: 48076 Fax: City: Ft. Lauderdale State:FL
Phone No.772-229-7923 Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954;979-1100
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
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If value of construction is$2500 or more,a RECORDED Notice of Commencement's required.
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S;UPPLEMENTAL'CONSTRU`CTION LIEN'LAW INFORMATION., I
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: I; _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: ;I _Not Applicable
Name: Name:
Address: Address: i
City: City:
Zip: Phone: Zip: Phone:
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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 covehants 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 Code and St, Lucie County Amendments.
The following building permit applications are exempt from undergo a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen r om nd accessory uses to another non-residential use
A NING T WNER:Your failure to Record a Notice of om en ent mayi result in your paying twice for
impr veme is o your property. A Notice of Commence en m s e recorded and posted on the jobsite
of r the f rst i spection. If you intend to obtain finan g, o suit it lei der or an attorney before
o m ncin wo k or recording our Notice of Commen t.
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Sig 'fur�' wrier%Lessee%A eat lSign �ure of Contractor'ILieense holder
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STAT OF FLORID STATE OF FLORI
COUNTY OF_S (ice:/) t Li LC COUNTY OF lnf LiA C-f
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The fp rgoing instrument was acknowledg d before me The forgoing instrument was acknowledged before me
this r7day of �� 20116-by this r day of U i 20 by
RICHARD LEVINSON
(Name of person ack o edgi (Name of person ack o, edgi
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(Signat,re of N ar P I c-State of Florida) (Si ure otar ublic-State of Florida)
Personally Kn n OR Produced Identification Personal) now OR Produced Identification
Type/of Iden fication Produced :Typ�ols dentifica ion ProducedCom on No. mmi (Seal)
o pyo JESSICA DOTSON a`•' P n. JESSICA DOTSON
=9' Y COMMISSION#FF 072984 `' { ',« MY COMMISSICIN#
EXPIRES: ovem �, :. ;-� ,. 3: oveftar25,2017
'%'• �Sf,fS.°� GondtaryPublicUnderwriters
Revised 07/ Bonded Thru Notary Public Underwriters
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW I REVIEW REVIEW
DATE
COMPLETE
INITIALS i �I
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