HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABL NFO (FIE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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 ✓
PERMIT APPLICATION FOR:
Mechanical
PROPOSED IMPROVEMENT LOCATION.:
Address: 9490 S Ocean Dr Apt 516A
Legal Description: Ocean Towers Condominium A
Property Tax ID#: 3535-701-0039-Q00-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED,DESCRIPTION OF WORK:
Ac Chofy 61j+ Q.5 tDo,,s '(0 &-u-
CONSTRUCTION INFORMATibN.,
Additionalwor to a er orme under t is permit—c ec a appy:
HVAC Gas Tank 0Gas Piping 1:1_Shutters ❑Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers ElGenerator F� Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 4004 Utilities:ln Sewer Septic Building Height:
OWNER/LESSEE CONTRACTOR:
Name Ernest Alessi Name: Richard Levinson
Address:9490 S Ocean Dr Apt 516A Company: Service America
City: Jensen Beach State: FI Address: 2755 NW 63rd Ct
Zip Code: 34957 Fax: City: FT Lauderdale State:FI
Phone No. '712 Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1110 ext 5673
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.INFORMATIO,N
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 nd St. Lucie County Amendments.
T e Ilowing building permit applications are exempt from unde gon a full concurrency review: room additions,
a ces ry ructures,swimming pools,fences,walls,signs,scree rooms nd accessory uses to another non-residential use
4ARG O OWNER:Your failure to Record a Notice o Comm cement may result in your paying twice for
en s to your property. A Notice of Commenc ment a recorded and posted on the jobsite
fir t inspection. If you intend to obtain finan 'ng, co tith lender or an attorney before
in ork or recordingour Notice of Comme e
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s
{Signdtur f:Owner/L.e_ss. Cont ractor:as.Agent-torwOwnerJ Sig 4ture ct r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instr m nt was acknowledged before me The forgoing instrume t was acknowledged before me
this day of�Y 20 1by this day of 20 by
twlrbon
(Name of person acknowledging) (Na a of person acknowledging)
(Signature Notar Public-State of Florida) (Signature o otary Public-State of Florida )
Personally Known Personally Known OR Produced Identification
Type of Identificati n rod ce ft"' ''••. PATPIE JO NETTL�ES ype of Identification Prod
MY COMMISSIONS FF95298,1 :i?`'''' �
Commission No. °�L EGS January 21,2020 Commission No. MY cAbMM g O NETTLE.
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Revised 07/15/2014 ^"
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