HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:ILl ZII"1 SCANNED Permit Number: l`110�—odar�
BY
St. Lucie County
Building Permit Application
Planning and Development 5ervices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone; (772) 462-1553 Fax: (772) 462-1579 Commercial Residential X
I PERMIT APPLICATION FOR: Mechanical III
Address:
Legal Description;
Property Tax ID #: 9L I271 - 1 I 1 " pnQQ , - l� - ) Lot No.
Site Plan Name: Block No.
Project Name: SU,IIAh ':Z�C'hyne_ r
Setbacks Front Back: Right Side:
s �c ,s'ia-�f � ''�v�a '3j.y��-�r. +„'a•."".r?� -`rle'�"'"�Y.,y �^"'Z
Weiell In 0 Is •'
LIHVAC I I Gas Tank UGas Piping
11 Electric 0 Plumbing ❑Sprinklers
Left Side:
Shutters ❑ Windows/Doors
Generator Li Roof
Total Sq. Ft of Construction: SIE Ft. of First Floor:
Cost ofConstruction: $ ���)�;CjQ Utilkies:Sewer0Septic
Address: I
City:
Zip Code:
Phone No.
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name; JAMES DEGATINA
Building Height:
Company: ALL AMERICAN AIR & ELECTRIC, INC
Address: 611 NW MERCANTILE PL
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax: 772-878-5144
Phone No, 772-878-5143
E-Mail: FOOD@AAAEINC.COM
State or County License: CAC057965
If value of construction is $2500 or more, a RECORDED Notice of Commencement is
DESIGNER ENGINEER: x�Not ApplicaDie
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Z(p: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X Not Applicable
Name: _
Name:
Address:
Address:
City: _
City:
Zip: Phone:
Zip: Phone:
OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 Dermit will authorize the permit hold �f 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 1 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 structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobs(te
before the first inspection. if you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
-XaBirr-ctor/License
Signat ner/ Agent/ Lessee
SIe Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MUCIE
COUNTY OF aruiela
The fo�r,ggping instru ent w s ac cn wledged efore me
�4
The fgrgoing instrument was acknowledged before me
this G day of 1CPYYl1 1 (by
this dayof�� 201�1by
.20
JAMES DEGATINA
JAMES DErWrINA
(Name of person acknowledging)
(Name of person acknowledging)
�ignature of Notary Public- State of Florida
Orsnifture of Notary public- State of Florida)
Personally Known X OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identification produced
Commission No. EE,o
1 L. CALHOUN
ommission No, eE tosses (Seal)
t ¢,r Notary Public - State of Flprlaa
a••h1o„ G@RI L. CALHOUN
Revised U7/15/?0'? P` Commissicn # EE 1Q$900 =. `
'^'���t•'
k=; Notary Public - tare o Florida
: •= My Comm. Expires Oct 0, 2015
Oonoed Through Halipnal Notary Assn. '��
�`,' Commissicn#EE 1f159011
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