HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/17/2017 Permit Number:
0
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 Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1200 Trowbridge Road
Legal Description: EAST 40 PLAT (PB 42-20) TRACT 3 (8.06 AC) (OR 1835-398: 2853-1399: 3366-835)
Property Tax ID a: 2213-502-0003-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
INSTALLATION OF LIKE FOR LIKE 4 TON TRANE A/C SYSTEM, 16 SEER WITH 8KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION:
liana wor to a er orme under this permit— check a appy:
❑✓_ HVAC fi Gas Tank OGas Piping _ Shutters E]Windows/Doors
11 Electric Plumbing 11 Sprinklers Generator 11 Roof = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,688.00
SFt. of First Floor: _
Utilities:Sewer [] Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name GLENN LENTZ
Name: JAMES F GRIMES
Address: 1200 TROWBRIDGE RD
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No. 919-244-0318
Address: 3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No. 772-461-8711
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: KAYLAGRIMESAC@AOL.COM
State or County License: RA0018071
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
$UPPLMENTAL;CONSTRUG"flb�t LIEN IAW,INFOI�MATION
FRONT
DESIGNER/ENGINEER:
Name:
x_ Not Applicable
MORTGAGE COMPANY:
Name:
x_ Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
z Not Applicable
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 Count yY makes no representation that is granting a permit 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, 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 financing, consult with lender or an attorney before
c
-ontractor as A
STATE OF FLORIDA STATE OF FLORIDA_
COUNTY OF ST . l U C M COUNTY OF ST . Ly C, \'E
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1 day of Pilo LASi- 20 12 -by this 1 -1_ day of A-5 20 11 by
,RMS F 6.V-> lMF_S
(Name of person acknowledging ) (Name of person acknowledging )
,Wignature of Notary Put
Personally Knowq��
Type of Identification rF,
Commission No.
Revised 07/15/2014
- State of Florid$ I Signature of Notary Public -State of Floridah
OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced
;,•"••. SUSAN MONTEN ,..�,�s..
B GG 089099
MY COAjta0� Commission No. SUSAN WOAgNEGRO
<f E%PIRES: Apa 2, 2021 MY COMMISSION Zf GG 089099
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS