HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/19/2017
Permit Number:
,101111111111 am
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) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 5049 N AIA UNIT 1501
Legal Description: SEABREEZE AT ATLANTIC VIEW UNIT1501 AND GARAGE 3-1
Property Tax ID #: 1414-613-0066-000-6
Site Plan Name:
Project Name:
Setbacks Fr
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
INSTALLATION OF LIKE FOR LIKE 2.5 TON CARRIER WSHP, 13.2 EER WITH NO ELECTRIC
HEAT
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit –check allapply:
❑✓— HVAC Gas Tank []Gas Piping In Shutters Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4,482.00
OWNER/LESSEE:
Name THOMAS ROTELL
SFt. of First Floor:
Utilities:nSewer []Septic
CONTRACTOR:
Name: JAMES F GRIMES
Building Height:
Address: 5049 N A1A UNIT 1501 Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL Address: 3054 N US HWY 1
Zip Code: 34949 Fax: City: FORT PIERCE State: FL
Phone No. 772-448-4374 Zip Code: 34946 Fax: 772-461-8722
E -Mail: Phone No. 772-461-8711
Fill in fee simple Title Holder on next page ( if different E -Mail: KAYLAGRIMESAC@AOL.COM
from the Owner listed above) State or County License: RA0018071
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State
X Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State:
X Not Applicable
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 permit holder to build the subject structure
which is in co Count makes
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, 1 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 finarcing, consult with lender or an attorney before
commencing work or recording your Notice of Comme icement.
S' a ureof Owner Lessee/Contractor as Agent for Owner Karure of Contractor/Ucense Holder
STATE OF FLORIDA
COUNTY OF ST L GlG/Eg
The forgoing instrument was acknowledged before me
this ffrday of .Tu c t/ 20 Z-7by
(Name of person acknowledging)
-(nature of Notary Public- State of Florida
Personally Known OR Produced Identification
Type of Identification Produced
STATE OF FLORIDA ST UG/ E
COUNTY OF
The forgoing instrument was acknowledged before me
this /9�"Kay of -4 t� .20 7by
(Name of person acknowledging )
/(signature of Notary Public- State of FI a )
Personally Knowe OR Produced Identification
Type of Identification Produced
Commission No. Commission No. •'.r; 5
1 `�:_••
(OAAAN MONTENEGRO
syy, SUSAN MONTENEGRO MYCOMMISSION#GG
<' My COMMISSION F GG 089099 _ , F 089099
EXPIRES: April 2.2021 �."i�n;,,,,��. gun
i �l ••,4' •a, Banded TMu Notary Public Und&,* g
Revised 07/15/201 •'r„p;.tS BMW TNUWArYPuokUMawtma
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS