HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning rind Development Services
Building and Code Regulation Division
200 Virginia Avenue.,Fort Pierce FL 34882
Phone:(772)462-1553 Fax: (772)46,2-x.578 Commercial Residential x
PERMIT APPUCATION FOR; Mechanical
Address: 9689 LANDINGS DRIVE
Legal Description: FAIRWAY LANDINGS PARCEL 10 LOT$(OR 91$-2676:1397-354;3741-1301,1303)
Property Tax ID#: 3322-500-0031-000-9 Lot No.
Site Plan Name: Block No,
Project Name: FRANKIE ROSIER
Setbacks FrontBack: Right Side: Left Side;
FA IMMEENEEM
LIKE FOR LIKI=A/C CHANGEOUT-NO DUCT WORK
!•
Add
itiona wor to e e orme under ti5'perm —check all thal appy:
✓HVAC Gas Tank E]GasPiping _Shutters ❑,Windows/Doors
Electric plumbing [:]Sprinklers Generator IjRoof
Total Sq. Ft of Construction: SCI. Ft..of First Floor:
Cost of Construction:$ -� Civ Utilities:0Sewer Septic Building Height:
Name FRANK RQSIER Name; JAMES DEGATINA
Address:9689 LANDINGS DR Company: ALL AMERICAN AIR&ELECTRIC, INC
City, PORT ST_LUCIE State:Fl, Address: 611 NW MERCANTILE PL
Zip Code: 34986 Fax: City; PORT ST LUCIE State:FL
Phone No.772489-6111 Zip CQds: 34986 Fax; 772-878-5144
E-Mail: Phone No. 772-878-5143
Fill in fee simple Title Holder on next page(if different E-Mail; GRUFQAAAEINC,.COM
from the Owner listed above) State or County License: CAC057965
If value of Construction is$2500 or more,a RECORDED Notice e f Commencement is regyired.
11 q 21i
Emil
DESIGNER ENGINEER_ x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City. state: City: State:
Zip: Phone: Zip: I]hone: -
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _x Not Applicable
Name, Name '
Address: Address:
City: City: --
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIPVIT: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 perrrlit 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 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 jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recQrdinlZ vour Notice of Commencement.
signatur f Own-N Agent esse4 Sign a ofCo rector 'icense'Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OFsTLucie
The forgoing Instrupqent was asknowied ed before me The forgoing Instrument was acknowledged before me
this day of 20LLO by this jk day of _ '20M by
.LAMES DrzWINA JAMES OFQATINA
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x.OR Produced identification Personally Known x OR Produced Identification
Type of identification Produced Type of identification Produ ed
�pNY PI GERI L.CALHOUN
iir o�• l L.CAf.H�ifN �E TQ6900 • E+
Commission No. EE o .tP Sla f Commission No. . M• * ip9l O Public-Stale of Florid
Wiry Pubuc.It*of fisriQrt � ••� Commission 0 FF 912091
COMM181 MY Com
Revised 07/15/20 1'� AINotsrizOAsa�
REVIEWS i FRONT ZONING SUPE=RVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIIiW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED