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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / G�
Date: '� /k Permit Number:—/
ECEIVE
Building Permit Application JUN /7'A6
Planning and Development Services
Buliding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:"(772)462-1553 Fax:(772)462-1578 Commercial ___. ..- Residential x
PERMIT APPLICATION FOR: To Select from dropbox,-click arrow at the end of line
Address: 5330 E13BTIDE WAY
Legal Description: OCEAN RESORTS COOPERATIVE SITE 44(OR 1882-178)
Property Tax ID#: 1410.502-0044000-3 Lot No.
Site Plan Zme: VIVIAN THOMPSON Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE A/C CHANGE OUT NO DUCT WORK
3T/14S PKG UNIT 8 KW
lona wor
tobe e Orme un er t is permit—c ec a appy:
✓HVAC Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
I]EleI ric ❑Plumbing []Sprinklers Generator Roof
Total Sq.Ft of Construction: SIC.Ft.of First Floor:
Cost of Construction:$ 4972.00 Utilities, Sewer D Septic Building Height:
NameVIV,lAN THOMPSON Name: JAMES DEGATINA
Address:5330 EBBTIDE WAY Company: ALL AMERICAN AIR&ELECTRIC, INC
City. FORT FIERCE State:FL Address: 611 NW MERCANTILE PL
Zip Coded 34849 Fax: City: PORT ST LUCIE State:FL
Phone No.772-882-4322 Zip Code: 34986 Fax: 772-878-5144
E-Mail: I Phone No. 772-878-514$
Fill in fee slmple Title Holder on next page(if different E-Mail: GRUF@AAAEINC.COM
from the(Owner listed above) State or County License: CAC057965
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable (MORTGAGE COMPANY: _Not Applicable
Name: I Name:
Address: Address:
City: State: _ City: State:
zip: I Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: I Name:
Addresst Address:
City: I City:
Zip: I Phone: Zip: Phone:
I certify t at no work or installation has commenced prior to the issuance of a permit.
St.Lucie CAunty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is inll 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 consldel0tion of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accorda{zte with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The follow'ng building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swlmming 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 tfie first inspection. If you intend to obtain financing, consult with lender or an attorney before
commenbrig work or recording our Notice of Commencement.
_Sig .lirlr� /Lessee/Agent Sign-&vm.QL0Nractor/LiIffense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF--cie
The forgoing Instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this Lt"day of ZU LJAb'Y this 11TH day of JUNE 20 --J-a by
JAMES DEGA'rINA JAMES DEGAnNA
(Nam of Gerson acknowledging) (Name cff person acknowledging)
Signature of Notary Public-State t FI ida) Slgnature of Notary Public-State
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of identification Produced Type of Identification Produced
Commisslo No. "'tAA''& (Seal)dENA LORENZ RUF C mission No. 'Ilp (S lA LOAIEHZRtJF
-� Notary Pubilo-Sta<tn Of Florida ._ Notary Mille-State o1 Florida
Revised 7/1S/2014 „�t� my Comm.expires Feb 7.7020 MY Comm.Expires Feb;."2 060
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