HomeMy WebLinkAboutBuilding Permit Applciation8-22-17ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/22/2017 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
Address: 3105 SUNRISE BLVD
Legal Description: MARAVILLA HTS BLK A E 150 FT OF LOTS 6 AND 8
Property Tax ID #: 2428-601-0007-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
INSTALLATION OF LIKE FOR LIKE 3 TON TRANE A/C SYSTEM, 17 SEER WITH 8KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name RICK BROWNING
Name: JAMES F GRIMES
Additiona work to be nerorme under
Z✓ HVAC Gas Tank
t ispermit — c ec
[]Gas Piping
a appy:
Shutters
❑
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No. 772-461-8711
E -Mail:
_
Windows/Doors
11 Electric OPlumbing
❑Sprinklers
Generator
0Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 4,200.00
Utilities:nSewer
Eheptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RICK BROWNING
Name: JAMES F GRIMES
Address: 3105 SUNRISE BLVD
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-528-2273
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
it varve or cons[rucnon is �zzuu or more, a KhCOKDED Notice of Commencement is required.
`SUPPL"�JVIENTAI�CONSTRUCTION LIEN LAW IN�ORMATIONl,t <, „ , r ,,,, .:
f
DESIGNER/ENGINEER:
Name:
x_ Not Applicable
SUPERVISOR
MORTGAGE COMPANY: x_
Name:
Not Applicable
Address:
MANGROVE
Address:
REVIEW
City:
Zip: Phone:
State:
REVIEW
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY: x
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
INITIALS
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 ermit will authorize the permit holder to build the subject structure
which is In con I: with any applicable Home Owners Assoc ation 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
-ontractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF :SJ. L U C I E COUNTY OF S T I
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 1A s i . 20 Eby this day of PTxAQ_i , 20 6y
s F V-11 ime_K�c" F r—,I rVI E_S
(Name of person acknowledging) (Name of person acknowledging)
Notary Public- State of
Personally Knowq�, OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identifica on Produced
�� "Y"''' MS IpN # GO 0890!! .^ 1t'2w _ SUSAN (,F�aII)NEGRO
Commission No. t MY CO � Commission No.
<f EXPIRES: April 2.20 21 ''T MY COMMISSION # GG 089099
Sondes TM Noun/ Pubk Urdel~ �.
,: ems IS' A..AO MIM
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS