HomeMy WebLinkAboutBuilding Permit Application 339444'8
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /L Permit Number: 1611, y 07 I
RECEIVED
Building Permit Application NOV /3 2016
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 El
PROPOSED IMPROVEMENT LOCATION':
Address: 2435 LAKERIDGE DR
Legal Description: LAKERRIDGE S/D LOT 3
Property Tax ID#: 4425-702-0005-000-7 Lot No.
Site Plan Name: 2435 LAKERIDGE DR Block No.
Project Name: SERVICE AMERICA
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK -
A/C CHANGE OUT 2 TONS 15 SEER KWH 5
CONSTRUCTION.INFORMATION.
Additional work to be performed under t ispermit—check all apyp
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3,803 Utilities:n Sewer❑Septic Building Height:
OWNER/LESSEE:', w . . : CONTRACTOR:,
Name CLARENCE ABRAHAMS Name: RICHARD LEVINSON
Address:2435 NW LAKERIDGE DR Company: SERVICE AMERICA
City: PALM CITY State: FL Address: 2755 NW 63 CT
Zip Code: 34990 Fax: City: FT. LAUDERDALE State: FL
Phone No.772-871-9257 Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100 X 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.
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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 and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions, /
accessory ctures,swimming pools,fences,walls,signs,screen rooms and acce9<—ok uses to another non-resid ntial use
WARNI Xi�
WNER:Your failure to Record a Notice of Commenc erit ay result in your p ng twice for
improv o your property. A Notice of Commencement m t be c d and pos don the jobsite
before hnspection. Ifyou intend to obtain financing, co It, en er or a torney before
commrk or recording our Notice of Commencemen
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,,-Signa r o •� weer/Less'ee/Cortractor*as Age"for Ownn' 'Si ture of Contr r License e�Ho'1dee
_=mm - it
STATE OF"FLORIDASTATE OF FLORIDA
COUNTY OF 'eX COUNTY OF
The f going instrumen w1 as acknowledge before me The for oing instrument was acknowledge before me
this�day of V 20�b by this_> day of �j/ 20 _o by
l[I c�Yc LeAllliSnrii &J,0 � Z-",'V/ cc�
(Name qf person acknowledging) (Name of person acknowledging)
Signature ofo ary Public-State of lorida) gnature o otary Public-Stat f Florida)
Personally Kn n OR Produced Identification Personally Known '" —DR Produced Identification
Type of Identification Produced Type of Identification Produced
Ylo*,,, SHERIfAWHYfE SHERIf��y�d�IIH`lT�
Commission No. s '"" MYCC(ISIA��ION#FF 065032 Commission No. "�YP��'• COMMISSIOR�PI� 5032
EXPIRES:October 21,2017 a
to PublicUndewrters EXPIRE S:October2l 2017
•o?•� Bonded Thru No N `i+' •o°'�' gnnded 7hru Notary Public uncle wiers
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS