HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 1130/20 1 7 Permit Number:
s I
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: 6661 ALHELI
Legal Description: SPANISH LAKES FAIRWAYS BILK 40 LOT 4
Property Tax ID#: 1306-500-0072-000-2 Lot No.4
Site Plan Name: Block No. 40
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF LIKE FOR LIKE 2 TON LENNOX A/C SYSTEM, 16 SEER WITH 5 KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all tha apply:
W1HVAC L }_I Gas Tank Gas Piping _Shutters a Windows/Doors
11 Electric �Plumbing Sprinklers E Generator ® Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction: $ 4,840.00 Utilities: Sewer OSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name EDWARD HOFFERTH Name: JAMES F GRIMES
Address:6661 ALHELI Company: GRIMES HEATING AND AIR CONDITIONING
City. FORT PIERCE State:FL Address. 3054 N US HWY 1
Zip Code: 34951 Fax: City: FORT PIERCE: State:FL
Phone No.574-586-7268 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 fisted above) State or County License: RA0018071
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
UPPL MENTAI.GC}NST lJCT1' ?N I {V # lW IN C RA�tAT.P.
DESIGNER ENGINEER. Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
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 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, 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
commencing work or recording our Notice of Commencement.
{ s .
ature of Owner/Lessee/Contractor as Agent for Owner Si&Wure of Contractor/License Holder
STATE OF COUNTY OFORIUA SX UU LI� COUNTY OF STATE OF FLORIDA S' 1, CLk Iz_-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ay of 20 —by this ay of 20 -_C-by
J WES LDS E _G�_I RES
¢(Name of person acknowledging) (Name of person acknowledging)
. E DA21 r f— 0. &kVXP)1--
(Signature of Notary Public-State of Florida) (Signature of Notary Public- Late of Florida)
Personally Known_ ' OR Produced Identification Personally Known >9 OR Produced Identification
Type of Identificati n Pmrhirpri Type of Identificatio
..,• e1:., CHRISTINE CIJLPEPPER
t' •p4 -X ULPEPPFER
CORMMIRSGG08f7$0 Commission No. j "_ MYCOMMI�„S�IGG081780
Commission No. . . ' .
's"' •�- EXPIRES:January 11,2021
January 11.2421 For ? Bonded Thus Notary Public Underwriters
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS