HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Plonning and Development Services
Building ond Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772\ 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITAPPLICATION FOR: Mechanical
Address: 25 LAKE VISTA TRL 103
Legal Descripl;qn. VISTA ST LUCIE BLDG 25 UNIT 103 (OR 501-2193)
Property Tax lD #:3422-500-0339-000-5 Lot No
Site plan Name: Nicholas P Galvam Sr Mary Louise Galvam Block No,
Project Name: Nicholas P Galvam Sr Mary Louise Galvam
Setbacks Front_l__ Back: _- Right Side: Left Side:
AC CHANGE OUT ON lsSEERS sKW
lortronal w(
Uruo.
I r,".,r'.
pe -c apply:
Gas Tank []om Piping Shutters
Generator
l-l *,noo*s/Doors
n ntumning [_lsprintters Roof
Total Sq. Ft of Construction:tl+ of First Floor:
Uti lities: l-l Sewer t] t"*'Cost of Construction' 5 3000'00
lf value of construction is 52500 or more, a RECORDED Notice of 'Commencement is required.
Name: RICHARD LEVINSON
Address: 2755 NW 63RD COURT
City: FORT LAUDERDALE
ZiP Code: 33330 p3x' 954-977-359'1
phone pe. 954-979-1100
E-Mait: EPERMITSGROUP@qERVICEAMERICA'cOM
State or County License: CAC011619
gS1ng Nicholas P Galvam Sr Mary Louise Galvam
Address: 25 LAKE VISTA TRL 103
City: PORT SAINT LUCIE
ZiP Code: 34952 Fax:
phone Ns.772-879-664
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
MORTGAGE COMPANY:_ Not Applicable
Address:
DESIGNER/ENGINEER: _ Not Applicable
BONDING COMPANY:
-Not
Applicable
Name:
Address:
Zip:
--
Phone:
FEE SIMPLE TITLE HOIIDER: _ Not Applicable
Name:
I certify that no work or installation has commenced prior to the issuance of a permit.
5t. Lucie Countv makes no reoresentation that is erantins a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anN/ a'pplicable Home Owfiers AsSociation rules. bvlaws or and covenants that mav restrict <jr prohibit such
structure. Please consult r4fith your Home Owners Association and review'your deed for any restrictions vihich may apply.
In consideration of the gralnting 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 \ucie County Amendments.
The following building permit applications are exempt from u a fijil concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs,ms and\ccessory uses to another non-residential use
TO OWNER: Your failure to Record a Notice t may result in your paying twice for
recorded and posted on the jobsite)nts to youf property. A Notice of Commen
first inspecftion. lf you intend to obtain fina h lender or an attorney before
work or Notice of
Revised 07lLSl20L4
of Owner/
STATE OF FLORIDA
COUNTY Qf srrxrrucre
RICHARD LEVINSON
(Name of person
of Florida )
'iltre11ffii,Ej,,;
Personally Kn
Type of,lden
STATE OF FLORIDA
COUNTY Qp srNrrucre
The forgoing instrument was acknowledged before me
this 16 day of 3
(Name of person
(Sign te of Florida )
OR Produced ldentification
d;r
u" r, ri,',,i lfi a s, 2s,,
-qeJ:Ydunu,,re's
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS