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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST B£COMPLETEV FOR APPLICATION TO BE ACCEPTED //�� Date: -" permit Number: -50Q 0,53? 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�15'78 Commercial _ Residential x PI=RMlT APPLICATION FOR: Mechanical Address: J r lr Legal Description: (�~ Property Tax Site Pian Name: Block No. Project Name: Setbacks Front- Back: Right Side:�Left Side: LIKE FOR LIKE A/C CHANOEOUT-�NODUC�WORT( at ona wor o e e oyrrre un er s Rerm -c c a p y: ©HVAC- Gas Tank Gas Piping _Shutters Windows/Doors �Electrfc LRJ Plum(sing Sprihklers Generator Roof Total Sq. Ft of Construction: Sq,R.of First Flour: Cost of Construction:� '"1 1� i � Utilities: Sewer Septic BOilding Height: Name Name: JAMES oEGATINA Address: 1 6 1 l� u 3! �C Company: ALL AMERICAN AIR&ELECTRIC, INC City: 1 - State:FL Address: 619 NW MERCANTILE PL Zip Code: _ ' e�G' Fax: City:FORT ST LUCIE State:FL Phone No. Zip Code: 34986 pax. 772-878-5944 E-Mail: Phone No. 772-878-5943 Fill In fee simple Title Holder on next page(if different g-Mall: KWOOD AAAEINC.COM from the Owner listed above) .State or County License: CAC057965 If value of construction Is$2300 or inere,a RECOPIED Notice of 1 oinmencemont is required. DESIGNER/ENGINEER: x Not App ice a MORTGAGE COMPANY: X Not Applicable Name: _ Name• Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: -x Not Applicable RpNDINC COMPANY: x`Not Applicable Name: Narne:. Address: Address- City: City: Zip: Phone: ZIP: Phone: OWNER/CONTRACTOR AFFIDVIT:AppllcatJon 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. S O�cie Coupt�yy�makes no representation that is ranting a Aarrt�it will auihorl2.e the ermit holderto bund the subject structure 'Wch is in confilict with any applicable Home Owners Msoctatlon rcilep,bylaws or anIcaveriants that may,restrict or prohibit such structure.Please consult with your Home Owners As#Rciatlon and review your deed or any restrictions which mlay apply. In consideration of the granting of this requested permit,I do hereby agree that t will,in ail 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 amessory uses to another non-residential use WARNING TO OWNER:Your failure to Reoord 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 fobsite before the first inspection. if you intend to obtain financing,consult with lender or an attorney before commenting work or recording your Noti a of Gommsncement. Signet ner/Agent/Lessee Si actor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF erLucia COUNTY OF 3T4uci The for ing instr ant was acknowled ed(before me The fl�j��gtIng Inst ant vi+�s acknowledged before me. this day of - ,20 by this_"►day of 1._ 20_AQ by JAMES DEGATINA JAMES DEGATINA (Name of persori aQknci%4a gin$) (Name of person acknowledging) ignature of Notary Public-State of Florida} gnature of Notary Public-State of Florida} Personally Known X OR Produced Identification Personally Known x. OIi Produced identification_ Type of Identification Produced Type of identification Produced Commission No. EE ro mmission No. r toasoo (Seal) i I,.CACHOUN Notary public•state et Florida +yGERt L.CALHdUN ti Notary Pu c• tate of ora a "`_� Cammisa3ian sa!6 9osst30 Revised 07/15/20 pg„;� a_•' ” • My Comm.Expires Oct 6,2095 bended TArnugii Natlonal Notary Assn. = commission EE(05900 ,v REVIEWS FRONT ZONJNG SUPERVISOR PLANS VEGETA? A U a O � COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW BATE RECEIVED DAT CCIMPLEf5D