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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE AMPTED Date: D SCANNED Permit Number: d� BY igt St. Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce F4 34982 Phone: (772) 462-1553 Fax: (772) 462-1579 Commercial Residential X J PERMIT APPLICATION FOR: Mechanical Address:` 1 Legal Description: Property Tax iD #: Site Plan Name, proJect Name: —C Setbacks Frorit Back' Right Side: , Left Sldq: LIKE FOR LIKE A/C CHANGEOUT- NO DUCT S Lot No. Block No, iiona'i worfc-fb tfegjerrormea onset in►s pE««« T %;j12;L,1% a" Shutters E]Windows/Doors ZHVAC 1�I Gas "rank ❑Gas Piping Lei Plumbing SprinklersD Generator Roof 13 Electric $ Total Sq. Ft of Construction: $ . Ft. of First Floor: Cost of Constr4atiprt: $ ..- Utilities $ewer 0 Septic Building Height: i City: T, State • I Zip tone: Fax;, — Phone No. E-mail: Fill in fee simple Title Molder on next page (if differenit fror" the Owner listed above) if value of construction is $2 00 or more, a RECORDED Nofto I , Name: JAM DEGATINA C9mpany: ALL AMERICAN AIR & ELECTRIC, INC Address: 611 NW MERCANTILE PL City: PORT BT LUCIE State: FL Zip Cod@: 34986 Fax: 772-878-5144 Phone No. 772-878-5143 it -Mall: KWOOD@AAAEINC.COM $tgte or Cpunty License: CAC057966 Ccnirnericemer4t is rewired. DESIGNS Ei C�iNEEit: X Not Appilcaoie Name: Address: City: State: Zip: Phone: I FEE SIMPLETITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: X Not Applicable Name: Address: City: State: Zip: Phone, BONDING COMPANY: X�Not Applicable Name: Address; City: ZIP: �,.r.� Phone: OWNER/ CdNTRAfL'1"OR 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 issual"Ce of a permit. St. Lucie Count makes no representation that Is granting t3 perrr►it will authprlte the ermit holder to build the subject structure which is in can ict with au appflcable Home Owners Associatlpti rules, bylaws or an covenants that may restrict or prahib{t such structure. Please consult with your Home Owners ,Association end review your deed or any restrictions which may apply. In in accordance with the granting plans, tof this he Florida 6 iIO)'ng Codes and it, I do hereby St.LLucia Counthat I ty Amendments. The the work the following building permit applications are exempt from undergoing a full conturrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-resldenVal use WARNING 10 OWNER: Your failure to 1terard a NOtioe of Commencement may result fit your paying twice for impprovements to your property, A Notice of Cornmencament must be recorded and posted on'the johsite hefere the first inspection, If you intend to obtain financing, consult with lender or an attorney before Lessee SPATE OF FLORIDA COUNTY OF sTwei6 The forgoing instrument was acknowied ed before me this _ day of 20LJ by JAMESDECATni (Name of perso 41nature of;N I Personally Knot ,Type of Identifil Commission Eta Revised 07/ REVIEWS State 51 actor/License Holder SPATE OF FLORIDA COUNTY OF sr�uciac The forgoing instrument was atknowled ed before me this — day of 2()L—J by ,DAME$ or:GATIMA (Name of person acknowledging) gneture of Notary Pub �c- State of Florida A ) X OR Produced Identification Personally Known x OR Produced identification,-,.� ion Produced Type of identification Produced "'Ohl 1,, CALHOUN Notary Public - state of I Commission # Et: 106900 9ondgd Through Natlonal Notary Assn. FRONT ZONING PLANS COUNTER I REVIEWS REV19WOR REVIEW No. iM 4051100 (Seal) SERi My Comm. Expires Oct $, 2015 Commission # EE 105900 VEGETATIDtWT I SivA TUK I REVIEW I REVIEW