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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED II Date: 02-03-2016 Permit Number: b �ul::,) Building Permit Application Planning and Development Services Building and Code Regulation Division '2300 Virginia Avenue,Fort Pierce FL 34982 X Phone:(772.)462-1553 Fax:(772)462-1578 Commercial � Residential PERMIT APPLICATION FOR: Mechanical Address: 42 GOLF DRIVE Legal Description: SPANISH LAKES#1 Property Tax ID#: '0004 nnn a 1 © I Q Qo0o. Site Plan Name: WYNNE BUILDING CORP Block No. Project Name: DEREK WRIGHT Setbacks front Back: Right Side:, Left Side: LIKE FOR LIKE A/C CHANGEOUT NO DUCT WORK 3.5T/14S PKG UNIT 10 KW HEATER. El Fill ona war o e e orme un er lspermit—c ec a appy: HVAC Gas Tank ❑Gas Piping Shutters E]Windows/Doors Electric OPlumbing Sprinklers ElGeneratorRoof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ Utilities t Sewer 1J Septic . Building Height: Name DEREK WRIGI iT Name: JAMES DEGATINA Address:42 GOLF=DRIVE Company: ALL AMERICAN AIR&ELECTRIC City: PORT ST LUCIE State: FL Address- 619 NW MERCANTILE PLACE City; PORT ST LUCIE State:FL Zip Code- 34852 Fax: Phone No.772-418"5409 Zip Code: 34986 Fax. 772-878-5144 E-Mail: Phone No. 772-878-5143 Fill in fee simple Title Holder on next page(if different &Mail. GRUFQAAAEINC.COM from the Owner listed above) State or County License: OAGO57965 If Value of construction is$2500 or more,a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: ESIGN5F/ENGINEERM_ Not MApplicable NIORTGAG>r COMIsANY. Not Applicable Name: Address: '! Address:i City, —State: city: State: Zip: Phone: Zip: 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 the permitholderto build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or an g 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 prop&ty.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 recordln&your Notice of Commencement. SignaTT10of UWO/Lessee/Agent bigna%ve-ei-Mtractor/Lic-ense Holder STATE OF FLO IDA STATE OF FLORIDA I COUNTY 0 cAtf COUNTY OF- SA--L The foWolng instrupgnt was acknowledged before me The forgoing Instrument was acknowledged before me this .i5 day of U 2a L -by this 3 day of- 20 by (Name of person acknAledging) (Name of person acknowl ging) -TSignature of Notary Public-State of Florida (Signature of Notary Public-State of Florida) Personally Known 4-"' OR Produced Identification Personally Known�OR,gr Type of Identification Produced Type Identification Produce I `Z) pr-q/at ft"Pak-via 0041 Commission No al GERIL.01ILKomm ionNo.?P7 ;7 ea#9jWjn;M#F;91 of 6ury Pubila-State' flawi*6 26 mycom.hom(okdet6. 19 COMMISSIon 0 FF:9:�q irmn ft,11 111 Dig mY 9001n.EXPRIS Od 6,2019 flaw, 0�4 Revised 07115/2014 =Agmu REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE